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RW <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.siooy.or4/ehd <br /> Hazardous Materials Program Inspection Report <br /> Facility Name: Facility Address: Date: <br /> PANDA EXPRESS#1023 1467 HULSEY WAY,MANTECA June 30. 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, with in 30 days of receiving inspection report. <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 EHD STAFF TIME ASSOCIATED WITH FAILING TO COMPLY BY THE ABOVE NOTED DAT S WI L B BIL ED T C RRENT HOURLY RATE. <br /> THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY e RATE <br /> m <br /> Received By Received By(printed nae and title): <br /> (signature): Sonathan Mendez, General Manager <br /> Inspector(printed name and title): Inspector Phone: <br /> Inspector // 209 468-0623 <br /> (signature): �L6 NICHOLAS LOEHRER, HM Specialist I ( ) <br /> Page 4 of 4 <br />