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SANJ 0 A U I Environmental Health Department <br /> 0U NT <br /> Hazardous Materials Program Inspection Report <br /> Facility Name: Facility Address: Date: <br /> Montezuma Fire District St 18-1 2405 S B St, Stockton October 26, 2018 <br /> Overall Inspection Comments: <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, within 30 days of receiving the completed inspection report. <br /> Starting September 1, 2018, all in-office CERS help will be provided at EHD hourly rate($152). To schedule an <br /> appointment, please call (209) 468-3420. <br /> AFTER THE COMPLIANCE DATE, EHD WILL BILL 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 EHD'S CURRENT HOURLY RATE <br /> Received by: Date: October 26, 2018 Inspector: Inspector Phone: <br /> Printed Name and Title: ROBERT LOPEZ, Haz Mat Specialist II (209) 953-6214 <br /> Edward Martel, Fire Chief <br /> FA0005944 PRO540688 SCO01 10/26/2018 <br /> EHD 19-01 Rev.09/27/2018 Page 4 of 4 Hazardous Materials Program OIR <br /> 1868 E. Hazelton Avenue Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />