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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 Wvb: www.sigov.orcileho <br />Facility Name: IFacility Address: Date_ <br />SafewaX 1648 T 2449 W Keltleman Ln, Lodi Febr <br />Complete and submit a copy of the Return to Compliance Certification form to the EHD with a statement <br />documenting the corrective actions that have been or will be taken for each violation, and any supporting <br />paperwork, by 3/4/2016 <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 httpa/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 />AFTER THE COMPLIANCE DATE, EHD WILL BIL.1- FOR ALL TIME AND ACTIVITIES ASSOCIATED WITH BRINGING THIS <br />FACILITY BACK INTO COMPLIANCE <br />THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT EHO'S CURRENT HOURLY RATE <br />Received by: Datc: February03, 2016 Inspector, <br />Inspector Phprte: <br />Printed Name and Tiro: JAMIE DE LA ROSA, HM Specialist 11 (209) 953-6211 <br />Page 2 of z <br />FEB 0 5 2016 <br />9/5 d « 61UM60Z M AGmaO$�Eb 50-ZO-960Z <br />ENVIRONfU NTi <br />HEPTH TH nFPAg1 x ""r <br />