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San Joaquin County <br /> Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, California 95265-6232 <br /> Telephone:(209)468-3420 Fax:(209)468-3433 Web:www.sigov.org/ghd <br /> Hazardous Materials Program Inspection Report <br /> Facility Name: Facility Address: Date: <br /> LPS WATER COITOWER iiK MARIN 14900 W HWY 12 LORI :ust 19 2016 <br /> Overall Inspection Comments: <br /> Complete and submit a copy of the Return to Compliance Certification form to the EHD with a statement <br /> documenting the corrective actions that have been or will be taken for each violation, and any Supporting <br /> paperwork, by 9118/2016. <br /> Please be aware as of January 1, 2013, all businesses are required to submit all hazardous materials information <br /> online to the California Environmental Reporting System (CERS)at http://cers.calepa.ca.gov. Be sure to include <br /> your hazardous material activity in the Businesses Activities section in CERS in addition to any other relevant <br /> activities and required fields. <br /> Ar i LR THE COMPLIANLE UAi k, END WILL BILL FOR ALL TIME AND ACTIVITIES ASSOCIATED WITH BRINGING THIS <br /> FACILITY BACK INTO COMPLIANCE. <br /> THfS "%CILITY IS SUBJECT TO REINSPEr"' "' - " ' ',TIME AT EHD'S CURRENT HOURLY RAT` <br /> Received by: Date: August 19,2016 Inspector: inspector Phone: <br /> Printed Name and Title: I?aMIE LIMN, HM Specialist II (209)953-62"11 <br /> Page 2 of 2 <br />