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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 siaov oro/ehd <br /> Hazardous Materials Program Inspection Report <br /> Facility Address: Date: <br /> Facility Name: 3125 E ORANGE ST ACAMPO December 21, 2015 <br /> MCCORMACK WILLIAMSON <br /> Complete and submit a copy of the Return to Compliance Certification form to the EH <br /> D with a statement <br /> documenting the corrective actions that have been or will be taken for each violation, and any supporting <br /> paperwork, by 1/20/2016 <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 hftp://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 BV THE ABOVE NOTED DATES WILL BE BILLED AT THE URRENT HOURLY RATE. <br /> Y IS SUBJECT TO REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE. <br /> 9(signatureeiwE;R; <br /> Received By(printed name and title): Date: <br /> `� —� Joan Gibson, Admin Assistant <br /> Inspector(printed name and title): Inspector Phone: <br /> 209 953-6211 <br /> JAMIE DE LA ROS;. HM Specialist II ( ) <br /> Page 2 of 2 <br />