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0 SAN JOAQUIN COUNTY 0 <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 East Hazelton Avenue, Stockton, California 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 468-3433 Web: www.sj oq v_org/ehd <br />CONTINUATION FORM <br />Page: 6 of 6 <br />OFFICIAL INSPECTION REPORT <br />Date: 09/27/12 <br />Facility Address: 107 Val Dervin Pkwy., Stockton <br />Program: HW <br />SUMMARY OF VIOLATIONS <br />CLASS I, CLASS 11, or MINOR -Notice to Comply) <br />Complete and submit a copy of the Return to Compliance Certification to the EHD by October 27, 2012 <br />along with a statement documenting the corrective actions that have been or will be taken for each <br />violation and any supporting paperwork. <br />Note: (corrected on site) <br />Used fluorescent bulbs were observed labeled as "used light bulbs." A generator shall label or mark <br />universal waste with the words 'Universal Waste' and the type of waste (batteries, mercury containing <br />equipment, lamps/bulbs, electronic devices, CRTs, CRT glass, aerosol cans). The label was corrected <br />at the time of inspection. <br />rovided:- <br />Provided.- <br />-Schedule of FREE classes <br />- Sample hazardous waste label <br />- Small Business Household Hazardous Waste Facility brochure <br />- Return to Compliance Certification form <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. <br />R iv y: <br />Title: <br />Stacy Rivera (209) 468-3440 <br />EHD 23-02-003 Rev D4/19/12 CONTINUATION FORM <br />