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09 <br /> 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.orG/ehd <br /> Hazardous Materials Program Inspection Report <br /> Facility Name: Facility Address: Date: <br /> BURGER KING#10834 4608 E WATERLOO STOCKTON Aril 14 2015 <br /> paperwork, by 5/14/2015. <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 AFF TIME ASSOCIAT DWI H IL ING TO COMPLY BY THE ABOVE NOTED DATES WILL BE BILLED AT THE CURRENT HOURLY RAT . <br /> THIS AGILITY IS JE T O REINSPECTION AT ANYTIME AT EHD'S CURRENT HOURLY RATE. <br /> Recei Re eived By(printed name and title): Date: <br /> (signa re): ami Hilscher, Tami Hilscher <br /> Inspector Inspector(printed name and title): Inspector Phone: <br /> (signature): JAMIE DE LA ROSA, HM Specialist II (209)953-6211 <br /> Page 2 of 2 <br />