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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.sigov,org/ehd/unitiii.html <br /> CONTINUATION FORM Page: 5 of 5 <br /> OFFICIAL INSPECTION REPORT Date: 06/23/10 <br /> Facility Address: 8203 East Highway 26 Program: HW <br /> SUMMARY OF VIOLATIONS <br /> CLASS I,CLASS II,or MINOR-Notice to Comply) <br /> 60. 63. Unable to review HW disposal receipts. <br /> -- Facilities shall retain a copy of the signed copy of the Uniform HW manifest, and a copy of the <br /> consolidated HW manifest, for a minimum of 3 years available for inspection. <br /> Immediately submit to EHD a copy of all disposal receipts and signed copy of Uniform HW <br /> manifests. <br /> NOTES <br /> Submit the following to EHD by August 15, 20% <br /> 1) A copy of the completed Return to Compliance (attached), <br /> 2) A written statement how each of the above violation was corrected, <br /> 3) Evidence (i.e. photos, disposal receipts, documents) in support of the corrections made. <br /> ALL EHD STAFF TIME ASSOCIATED WITH FAILING TO COMPLY BY THE ABOVE NOTED DATES WILL BE BILLED AT THE CURRENT HOURLY RATE($115). <br /> THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE. <br /> EHD Ins ctor: Received By: Title: <br /> All <br /> EHD 23-02-ca Rev 06/ f/10 CONTINUATION FORM <br />