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SAN J O A Q U I N Environmental Health Department <br /> Hazardous Materials Program Inspection Report <br /> Facility Name: Facility Address: Date: <br /> MCDONALDS#4643 3143 W BENJAMIN HOLT DR,STOCKTON October 07,2022 <br /> Conducted a Hazardous Materials Business Plan (HMBP)inspection.There were 3 violations found during the <br /> inspection. Complete and submit a copy of the Return to Compliance Certification form to the EHD with a <br /> statement documenting the corrective actions that have been or will be taken for each violation, and any <br /> supporting paperwork, by 11/6/2022. <br /> To minimize person to person contact EHD is choosing to write the name of person receiving the report instead <br /> of having them sign. Starting September 1, 2018,all in-office CERS help will be provided at EHD hourly rate <br /> ($156). To schedule an appointment, please call (209)468-3420. <br /> AFTER THE COMPLIANCE DATE,EHD WILL BILL FOR ALL TIME AND ACTIVITIES ASSOCIATED WITH BRINGINr <br /> THIS FACILITY BACK INTO COMPLIANCE. <br /> THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY Rf <br /> Received by: Date: October 17,2022 Inspector: Inspector Phone: <br /> Printed Name and Title: NICHOLAS LOEHRER,Haz Mat Specialist II (209)468-0623 <br /> Frank Rodriguez,Ops Supervisor, No sign due to covid-19. <br /> FA0001769 PRO520737 SCO01 10/07/2022 <br /> EHD 19-01 Rev.12/06/2021 Page 3 of 3 Hazardous Materials Program OIR <br /> 1868 E. Hazelton Avenue I Stockton,California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sygov.org/EHD <br />