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San Joaquin County -me <br /> Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, California 95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209) 468-3433 Web:www.sjgov.org/ehd <br /> Hazardous Materials Program Inspection Report <br /> Facility Name: Facility Address: Date: <br /> COST PLUS WORLD MARKET 3610 S AIRPORT WAY STOCKTON Aril 02 2015 <br /> A copy of the inspection report and inspection photos was provided to Jacie Solima. <br /> Please be aware as of January 1, 2013, all businesses were required to submit all hazardous materials informatior <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 /> ALL EHD STAFF TIME ASSOCIATED WITH FAILING TO COMPLY BY THE ABOVE NOTED DATES WILL BE BILLEDAT THE CURRENT HOURLY RATE. <br /> THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE. <br /> Received By Received By(printed name and title): Date: <br /> (signature): Jacie Solima, Human Resource Manager <br /> Inspector Inspector(printed name and title): Inspector Phone: <br /> (signature): ROBERT LOPEZ, HM Specialist II (209) 953-6214 <br /> Page 3 of 3 <br />