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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 FaK: (209) 468-3433 Web: www.s&-qov.org/ehd/unitiii.htmi <br />CONTINUATION FORM Page: 3 of 4 <br />OFFICIAL INSPECTION REPORT Date: 06110/11 <br />Facility Address: 61,"LS--Ajndbp--rgh A <br />Proaram: HW <br />SIMMAR"i'OF• <br />(CLASS 1. CLASS It. or MINOR -Notice to ComDIv) <br />W1411 <br />site- Hazardous waste generators shall retain copies of all manifests signed off by the disposal ftarty and all receipts used <br />in a consolkiated marliffeshrig procedure on Site for three years and have them readily available for review. Immediately <br />locate a copy of aff mandests and receipts for the last three years, rikiintain them on site, and submit copies to the EHD by <br />July 12, 2011. <br />ALL EHD STAFF TIME ASSOCIATED WITH FAILING TO COMPLY BY THE ABOVE NOTED DATES WILL BE BILLED AT THE CURRENT HOURLY RATE ($122). <br />THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE. I <br />12-111. FBI <br />Title: <br />5'1/4 <br />EHD23-02i003 Rev 0800/10 CONTINUATION FORM <br />