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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: 4 of 4 <br /> OFFICIAL INSPECTION REPORT Date: 08/24/10 <br /> Facility Address: 9400 VV Arhor. Ave., Tracy Program: HW <br /> SUMMARY OF VIOLATIONS <br /> CLASS I,CLASS II,or MINOR-Notice to Comply) <br /> 83. (continued) <br /> - Name & address of destination facility <br /> - Quantity of each type of universal waste sent <br /> - Date of departure <br /> Begin this practice immediately. Aerosol can was removed from trash can at time of inspection. <br /> Complete & submit a copy of the Return to Compliance Certification to the EHD within 30 days (9/24/10) <br /> along with any supporting paperwork and a statement documenting the corrective actions that have <br /> been or will be taken for each violation. <br /> Note: (corrected on site) <br /> - No modified contingency plan was available on site. Plan was completed and posted next to a <br /> telephone at time of inspection. <br /> Provided: <br /> - EPA ID number application <br /> - Schedule of FREE classes <br /> - Sample label <br /> - Hazardous waste labels <br /> - Modified Contingency Plan template <br /> - Return to Compliance Certification form <br /> ALL EHD STAFF TIME ASSOCIATED WITH FAILING TO COMPLY BY THE ABOVE NOTED DAT LL BE NLLED AT THE CURRENT HOURLY RATE($122). <br /> THIS FACILITY IS SUBJECT TO REINSPECTION AT AN E T EHD CURRENT HOURLY RATE. <br /> EHD InM�� <br /> Received By: Title: <br /> EHD 23-02- 08/10/10 CONTINUATION FORM <br />