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Adkkk Ile <br /> �., <br /> San Josquln County Fes' d •�ce— <br /> Environmental Health Department lJ <br /> 1868 East Hazelton Avenue, Stockton, California 95205,6232 <br /> T616000e:(209)468-3420 Fax.(209)468-3433 Web:ltriy&*gQy_or�a,,,l�W <br /> �rdous'IN�s ndrltor <br /> FaclifyHumeFaellfly Addn�ls: .�nrF!iQ <br /> . .� <br /> C&S ONE HOUR MARTINIZING 5756 PACIFIC AVE, STOCKTON Dec <br /> omp e e an submit a copy o e e urn to ComplianceCertification form tp t e Wt <br /> a sat ment s, 2014 <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 hftp,//cers.calepa,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 pian. 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 /> W4 <br /> 5755 Pacitic Ave,Suite 1 <br /> stocmo 4CA 96 77-4321 <br /> (2W) 247 <br /> ALL L:HU b1AFf-TIME ASSOCIA I Eu VA I HFAIEIN5 IQ QQMPLY1JYTHtAt10VF NUILU UATLb WLLUF MILLED AT TRE COMPRI HOURLY RATE <br /> THIS F8rILIIYIS SUBJECT TORE SPECTION AT <br /> Receivso RY(slgnaturet: Me: Do*: <br /> Received Fly(printed name): kropomr, Inspedor Phone: <br /> FATINAH ZAREEF, REH5 (209)953-7311 <br /> Page 4 014 <br /> RECEIVED <br /> DEC 17 2014 <br /> ENVIRONMENTAL HEALTH <br /> DE.s=AQTJWENT <br />