Laserfiche WebLink
E <br />Ll <br />SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 East Hazelton Avenue, Stockton, California 95205-6232 <br />(r#N=s * ?T#5 M#i#TM01r*7trJ3-W9Y*GTkMs Miff MaiTT-3 <br />Msrgw�'! W I <br />711TEUTWiRU L0p U1 U115 [OFFIn T79TRTF�—T1FWaays OT reCelp o ne <br />Inspection Report. HSC 25404.1.2(c)(1) <br />All corrections to other violations noted in the attached Inspection Report (IR) or Continuation Form, or <br />disputes to any violations, are to be submitted using this certification and returned to EHD within 30 days <br />unless otherwise specified in the Inspection Report. HSC 25185(c)(3) <br />Note: All EHD staff time associated with failing to comply by the above noted dates will bizz <br />billed at the current hourly rate. <br />For this certification to be completethe operator of the site must include, <br />• A statement documenting what corrective actions were taken or will be taken for each violation <br />• Copies of sample results/manifests/training records/other appropriate paperwork, and/or photos <br />verifying corrections <br />• Operators certification <br />Facility Address: 1403 W Country Club Blvd EPA ID#: <br />M <br />1. 1 have corrected the violations specified in the Inspection Report from the above-mentioned <br />inspection date. <br />Photos Paperwork Statement <br />1101111fi <br />�eleggjlejllly UrIlLq 0 110 0 oil <br />Narne:- Title: Esc , 'k-_ <br />