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• ' k(f 6 f f-t P 'Zcu(c - <br /> San Joaquin County Frtaw, Cc-wce— F•;-- <br /> Environmental Health Department �. <br /> 1868 East Hazelton Avenue,Stockton,California 95205-6232 <br /> Telephone;(209)46&-3420 Fax:(209)468-3433 Web:Mm.11goy.oralehd <br /> Addr <br /> Fa5756 PACIFIC AVE, STOCKTON oft: <br /> December 1"( <br /> racuny n.me. caiyt aa. <br /> C&S ONE HOUR MARTIN121NG s,2414 <br /> Compketle and submit a copy of t e eturn toomp lance e l ca Ion form tote F=HD with a s a emen <br /> documenting the corrective actions that have been or will be taken for each violation, and any supporting <br /> paperwork, by January 16, 2014. <br /> Consent to perform the inspection,take photos and collect samples was given by Charles Patel the Owner via <br /> telephone. <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 http://cers.Galepa.ca.gov, Be sure to include <br /> your hazardous waste activity in the Businesses Activities section in CERS in addition to any other relevant <br /> activities and required fields. <br /> NOTES: <br /> " Facility did not have an emergency coordinator or modified contingency plan. A form was provided and <br /> completed on site. <br /> * Provided Small Business Hazardous Waste Disposal Program brochure. <br /> * Provided Hazardous Waste Labeling Minimum Requirements sheet. <br /> A <br /> 5756 Pacific Ave"Sum�1 <br /> Stockton,,CA 95201 <br /> (208}477-4321 <br /> ALL EHD 5TAFF TjWX6b1jL;1A I W MIR MONGTO COMPLY RYTHP-ABOVE NOTFU UATES WILE 13E 11[=AT I Ht VURKrNT HOURLY RATE — <br /> TH15 FAQLITYIS SUBJECT TO REWCTIONNT HOURLY RATE <br /> Recolw s nature <br /> Recolwd By(primed note), Inspoom, <br /> nspeCbr one: <br /> FATINAH ZAREEF, REHS (209)953_7311 <br /> Page 4w4 kI.CEI ED <br /> DEC 17 2014 <br /> ENVIRONMENTAL HEALTH <br /> DEPARTMENT <br />