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ANIL <br /> San Joaquin County <br /> Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, California95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209) 468-3433 Web:www.sigoy.orglerid <br /> Hazardous Materials Program Inspection Report <br /> Facility Name: Facility Address. Oats. <br /> KFC&AW HARMAN COOLEY#200 35 19 c HAMMER LN, STOCKTON June 18, 2015 <br /> Complete and submit a copy of the Return to Compliance Certification form to the EHD with a statement <br /> documenting the corrective actions that have been or will be taken for each violation, and any supporting <br /> paperwork, by 7/18/2015 . <br /> Please be aware as of January 1, 2013, all businesses are required to submit all hazardous materials information <br /> online to the California Environmental Reporting System(CERS) at http://cers.calepa.ca.gov. Be sure to include <br /> your hazardous material activity in the Businesses Activities section in CERS in addition to any other relevant <br /> activities and required fields. <br /> Craig Corbin <br /> Will _ ManagerlCo-Owner <br /> Harman-Cooley,Inc. <br /> Providing a Caring Culture <br /> of Service,Success,and Oumership <br /> 3519 E.Hammer Lane <br /> Stockton,CA 95210 <br /> Phone.209-952-7128 - <br /> Fax:209-952-1995 <br /> '�,jj Also Featuring, <br /> 1`aC <br /> ALL EH STAFF TIME ASSOCIATED WITH FAILING TO COMPLY BYTHE ABOVE NOTED DATES WILL BE BILLED AT THE CURRENT HOURLY RATE. <br /> THIS FAIMITY IS SUBJECT TO REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE <br /> Received <br /> Received By By(printed name and title): Date: <br /> (signature): �r� �O1(c <br /> Inspector !jnn,y� Inspector(printed name and title): Inspector Phone: <br /> (signature): <br /> Page 3 of 3 <br />