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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.sogov.org/ehd <br />Hazardous Materials Program Inspection Report <br />Facility Name: <br />Facility Address: <br />Date: <br />CHICK-FIL-A MARCH LN AT 15 <br />2628 W MARCH LN, STOCKTON <br />January 24, 2017 <br />documenting the corrective actions that have been or will be taken for each violation, and any supporting <br />paperwork, by [DATE, 30 days from now] . <br />Please be aware as of January 1, 2013, all businesses are required to submit all hazardous materials <br />information online to the California Environmental Reporting System (CERS) at http://cers.calepa.ca.gov. Be <br />sure to include your hazardous material activity in the Businesses Activities section in CERS in addition to any <br />other relevant activities and required fields. <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: January 24, 2017 <br />Inspector: <br />Inspector Phone: <br />v ~ V Printed Name and Title: <br />MARIBEL FLOHRSCHUTZ, REHS <br />(209) 953-7817 <br />Ariel Meadows, manager <br />FA0002011 PR0520686 SCO01 01/24/2017 <br />EHD 19-01 Rev. 09/22/16 Page 4 of 4 Hazardous Materials Program OIR <br />