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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.sioov.org/ehd <br /> Small Quantity Hazardous Waste Generator Inspection Report <br /> Facility Name: Facility Address: Date: <br /> ST JOSEPHS HOSPITAL 1800 N CALIFORNIA ST, STOCKTON April 21, 2017 <br /> Note: The following violations are noted in addition to the the ones indicated on the checklist: 603 and 3030. <br /> During inspection received copy of"Pharmaceutical Waste Program" Policy #MM.05.01.19.01. <br /> At time of inspection it was determined 1800 N. California Street and 2102 N. California Street are one <br /> contiguous piece of property, while 2131 N. California and is considered off-site. <br /> Within 30 days of receipt of the official inspection report submit a copy of the completed Return to Compliance <br /> certification with a statement addressing how each of the violations has been addressed. Submit copies of all <br /> requested documentation along with the Return to Compliance certification. <br /> AFTER THE COMPLIANCE DATE, EHD WILL BILL FOR ALL TIME AND ACTIVITIES ASSOCIATED WITH BRINGING <br /> THIS FACILITY BACK INTO COMPLIANCE. <br /> THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE. <br /> Received by: Date: InspectclL Inspector Phone: <br /> n Printed Name and Title: MICHELLE HECNRRY Lead Senior REHS (209)468-3454 <br /> FA0003761 PRO514003 SC001 04/21/2017 <br /> EHD 22-01 Rev.09/22/16 Page 7 of 7 Small Quantity Hazardous Waste Generator OIR <br />