Laserfiche WebLink
Adlk <br />W 0 <br />San Joaquin County <br />Environmental Health Department <br />1868 East Hazetton Avenue. Stockton. G-Aftnia 95206-6232 <br />0 011"ii'll <br />H Fill LPn I EC <br />F--111 itFUG] 014) Sit 1��z W 111WO IU& <br />11!1111 ;7MM"101 ; 0 11 0 a 1— 1 4 <br />AT-WIV V ­ <br />Inspection Report. HSC 25186(c)(3) <br />bi lied at the current hourly ratL <br />For this certification to be complete, the 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/manifestskraining recordslother appropriate paperwork, and/or photos verifying <br />corrections <br />Operator's certification <br />Inspection Date: September 23, 2013 <br />Inspected By: Elena Manz® <br />2 <br />Facility Address: 2072 W YOSEMITE AVE CERS ID: 10181669 <br />I certify under penalty of law that <br />in 0^arN 117 M-1 <br />=I ll","* -W*1 'll <br />otos -Paperwork �StatemejM <br />4. lam aware that there are significant penalties for submitting false information, including the possibility of a fine <br />and/or i"onment for known viaktions. {HSC 25191} <br />EF <br />C, <br />t*k <br />� &Tvvloo <br />"Id'-TH <br />t,,d OOL9VZ860Z do4SNojnb d.VO:Z l, L l, Lo jnr <br />