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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: 03/15/12 <br /> Facility Address: 1856 W Country Club Blvd, Stockton Program: HW <br /> SUMMARY OF VIOLATIONS <br /> CLASS I, CLASS II, or MINOR-Notice to Comply) <br /> Notes <br /> 1. Complete and submit aopy of the Return to Compliance Certification form with a statement of how <br /> each violation was correcte , including supporting documentation, by April 15, 2012. <br /> 2. Inspector provided the following to the operator: County hazardous waste facility brochure, Dept <br /> Toxic Substances Control Hazardous Waste Generator guidance, California Hazardous Material Spill/ <br /> Release Notification Guida ce and a hazardous waste label. <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: Received- T}tle► ,�I�✓ <br /> Garrett Backus (209) 468-2986 aezi <br /> !{y <br /> EHD 23-02-003 Rev 07/12/11 CONTINUATION FORM <br />