Laserfiche WebLink
San Joaquin County RECEIVED <br />Environmental Health Department <br />1868 East Hazelton Avenue, Stockton, California95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 468-3433 Web: www.sjgov.org/end JUI. 1 3 2'L') l� <br />Hazardous Materials Program Inspection Report ENVIRONMENTAL HEALTH <br />Facility katt►e: Facility Address: <br />Date: <br />_ATUCKY FRIED CHICK`=" -5 PAG . .� AVE, STOCKTON <br />Overall Inspection Comments: <br />-omplete and soul i G J;�y c ; : ,urr to Lumpliance Certifica +on form to the --HD iL a �:ateri :int <br />documenting the corrective actions that have been or will be taken for each violation, and any supporting <br />paperwork, by 7/19/2015 . <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 STAFF TIME ASSOCIATED WITH FAILING TO COMPLY BY THE ABOVE NOTED DATES WILL BE BILLED AT THE CURRENT HOURLY RATE. <br />THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE <br />Received By ^ <br />Received By (printed name and title): <br />Date: <br />(signature): , <br />n ,n?nn Mpnr <br />Inspector <br />�✓��/li <br />Inspector (printed name and title): <br />NICHOLAS LOEHRER, HM Specialist 1 <br />Inspector Phone: <br />y) Otic-hoz <br />(signature): .� �„ <br />v��(� <br />Page 2 of 2 <br />