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San Joaquin County <br /> Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, California 95205-6232 <br /> Telephone: (209)468-3420 Fax: (209) 468-3433 Web:www.sioov.org/ehd <br /> Hazardous Materials Program Inspection Report <br /> Facility Name: Facility Address: Date: <br /> dvENDYS IN I ERNi I IUNF;L 725 W HAMMER LN, STOCKTON ✓max: :oc! «. <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 01/21/2015. <br /> Consent to perform the inspection was given by Kanya Pech, Store Manager. <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 /> ALL END STAFF TIME A6bUUIA I ED WITH FAILING 10 GUMPLY BY THE ABOVE NOTED DAM WILL BE BILLED A I I HE CURRENT HOURLY RA I E <br /> THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE. <br /> eiv d By(signature): Title: Date: <br /> ( � l <br /> 'Received B prin!tgWnam Inspector: Inspector Phone: <br /> LC HAZA SAEED, HM Specialist 1 (209) 953-6212 <br /> Page 2 of 2 <br />