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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.s6gov.org/ehd/unitiii.html <br /> CONTINUATION FORM Page: 6 of 6 <br /> OFFICIAL INSPECTION REPORT Date: 03/06/12 <br /> Facility Address: Holz Rubber Company, Inc. 1129 S. Sacramento St. Lodi, CA Program: HW <br /> SUMMARY OF VIOLATIONS <br /> CLASS I,CLASS II,or MINOR-Notice to Comply) <br /> Immediately label these containers and ensure that all hazardous waste containers are marked with all <br /> the required information. <br /> Complete and submit a copy of the Return to Compliance Certification form with a statement of how <br /> each violation was corrected, including supporting documentation, by 4-6-12. <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: Recei Titl <br /> Aris Cacapit (209) 468-3453 �: �— <br /> EHD 23-02-003 Rev 07/12!11 CONTINUATION FORM <br />