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04!22!2015 08:23AM 209463090@ ARCH BK • PAGE 02/04 <br /> RF ailij=n, <br /> San Joaquin County <br /> Environmental Health Department APR$4 2015 <br /> 1888 East Hazelton Avenue, Stockton, Califomie95205-8232 <br /> Telephone:(209)468-3420 Fax:(209)488-3433 Web;Wn-siu_ ov oro/�; IRONMEN <br /> TA <br /> Hazardous Materials Program inspection Report. " Arr <br /> F."v Nrne: rm*ky Address: Oi1e: <br /> BURGER KING 1410368 4881 S HW1'88 FRONTAGE RD STOCKTON ADri121. 2015 <br /> Overall Inspection Comments: <br /> Compete and submit a copy of the Return to Compliance Certification form to the EHO with a statement <br /> documenting the corrective actions that have been or will be taken for each violation, and any supporting papenve <br /> by May 22, 2015. <br /> A copy of the inspection fepert and inspection photos was provided to Teresa Moore. <br /> Please be aware as of January1, 2013, all businesses were required to submit all hazardous materials information <br /> online to the California Environmental Reporting System;CERS) at http://cers.ca!epa.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 /> a"ptl`":,oq Sanloaquin County <br /> .`t Environmental Health Department <br /> 1868 E.Hazehon Ave•Stockton,CA 95205 <br /> , <br /> _4.08ERT.Y._LOPEZ,JR. <br /> Hazardous Materials Specialist <br /> Email rlopez@sicehd.com (209)9S3.6214 , <br /> EHD Website:hnpJ/www.sj9ov.or9/ehd Fax(209)468-3433 <br /> ALL EMD STAFF TIME ASSOGIATED WITH FAILING TO COMPLY Hy THE A13OVE NOTED VATIES WILL I5E BILLED ATT E. <br /> THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE. <br /> Received By Received By(printed Mame and title): Date: <br /> (signature): Teresa Moore, Manager <br /> Inspector Inspector(printed name and telt): Inspector Phone: <br /> (signature): 2 ROBERT LOPEZ, HM Specialist if (209) 953-6214 <br /> Page 2 of 2 <br />