Laserfiche WebLink
SAW10A <br />-COU N1 Y <br />Mironmental Health Department <br />Small Quantity Hazardous Waste Generator Inspection Report <br />Facility Name: <br />Facility Address: <br />Date: <br />STOCKTON SURGERY CENTER <br />8011 DON AVE, STOCKTON <br />October 11, 2019 <br />Stockton, <br />California 95205 � <br />T <br />SUMMARY OF VIOLATIONS <br />(CLASS I, CLASS II, or MINOR = Notice to Comply) <br />Item # <br />Remarks <br />Overall Inspection Comments: <br />An inspection checklist was provided to the facility operator at the time of inspection. The EHD will generate <br />and provide a complete report to the facility operator. <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, within 30 days of receiving the complete inspection report. <br />AFTER THE COMPLIANCE DATE, EHD WILL BILL FOR ALL TIME AND ACTIVITIES ASSOCIATED WITH BRINGING <br />THIS FACILITY BACK INTO COMPLIANCE. <br />THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE. <br />Received by: Date: p� I <br />Inspector: <br />Inspector Phone: <br />Printed/Name and Title: <br />CLAUDIA MURO, EH Specialist <br />(209) 468-3429 <br />J <br />FA0019731 PR0541467 SCOW 10/11/2019 <br />EHD 22-01 Rev. 9/20/2019 <br />Page 4 <br />Of <br />4 <br />Small Quantity Hazardous Waste Generator OIR <br />1868 E. Hazelton Avenue � <br />Stockton, <br />California 95205 � <br />T <br />209 468-3420 � <br />F 209 464-0138 � www.sjcehd.com <br />