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SAN JOAQUIN COUNTY • <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, California 95202-3029 <br /> Telephone:(209)468-3420 Fax:(209)468-3433 Web:www.sioov.org/ehd/unibii.htmi <br /> CONTINUATION FORM Page: 6 of 6 <br /> OFFICIAL INSPECTION REPORT Date: 04/03/12 <br /> Facility Address: 3632 Duck Creek Dr., Stockton Program: HW <br /> SUMMARY OF VIOLATIONS <br /> CLASS 1 CLASS 11 or MINOR-Notice to Com <br /> 305. According to Mr. Choopratheep, the eyewash station is not being tested. Several items were <br /> observed stored in front of the eyewash, blocking access. All facility communications and alarm <br /> systems, fire protection equipment, spill control equipment, and decontamination equipment, shall be <br /> tested and maintained as necessary to assure its proper operation in time of emergency. Immediately <br /> conduct all necessary testing and maintenance on this equipment to ensure proper functioning. <br /> Complete and submit a copy of the Return to Compliance Certification to the EHD by May 3, 2012 along <br /> with a statement documenting the corrective actions that have been or will be taken for each violation <br /> and any supporting paperwork. <br /> Provided: <br /> - Modified Contingency Plan template <br /> - Schedule of FREE classes <br /> - Sample hazardous waste label <br /> - Return to Compliance Certification form <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 /> EHD Inspector. Received By: a Title: <br /> Stacy Rivera (209) 468-3440 �C�r+l// 4444 1 <br /> — <br /> EHD 23-02-003 Rev 07/12/11 CONTINUATION FORM <br />