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SAN JOAQUIN COUNTY <br /> OFFICE OF EMERGENCY SERVICES <br /> VIOLATION REFERRAL SHEET <br /> This form is to be used to document details of noted violations and to track proper referral to the <br /> ppropriate agency and the District Attorneys Office. Write clearly or type and keep a copy with th <br /> Appropriate business tile. The Hazardous Material Specialist Supervisor responsible for referrals <br /> should be verbally briefed as soon as practical after noting the violation(s) and should be given this <br /> sheet for review and proper referral. <br /> SECTION 1 <br /> BACKGROUND INFORMATION <br /> Location of Noted Violations: _�� 38Z I�j, Nwv qq Arzampo gy20 <br /> Name of Business or Responsible Party, if known:�?G M Eh uroc scs <br /> I <br /> j Datz'Time that violatiou(s) were noted: Mo 1 IQgZ 11!3c h-3 <br /> I <br /> Name of Specialist making this report: <br /> SECTION '_ <br /> DESCRIPTION OF SITUATION <br /> 1Describe in detail what you saw, heard, or smelled and the circumstances that put you in the area of <br /> �ossible violation(s). List applicable section(s) of code(s) if known. Attach addidonal sheets if nec- <br /> essary. HMMP nct-e.cl cv) c.rc.c.. o+\ -i-1�c, wcs - <br /> �\dc a� �-hc c�,-�Pc,-ty whew,-� -t1-,c_y conduct cd �a,•.-r,',..� oPcK�-�� <br /> \h4S Gecc� wc.s � �cW., �� c.•v- oJlc� on tl,c Gx+cJor o� <br /> P�c.l g'�ih� � �,{'r�{GfUr[�^ TY�c G'yo �„�p,3 Ground cOn�-amno�ron <br /> AnCD <br /> SECTION 3 <br /> REFER RAL. INT 0 R2 l A TI O N <br /> Name of Supervisor and Time received Referral: <br /> Name of agencies sent a copy and date: <br />