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San Joaquin County <br /> Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, California 95205-6232 <br /> Telephone: (209)468-3420 Fax:(209)468-3433 Web:www.sigov.org/ehd <br /> Hazardous Materials Program Inspection Report <br /> Facility Name: Facility Address: Date: <br /> FIVE GUYS 2970 W GRANTLINE RD TRACY June 24 2015 <br /> Complete and submit a copy of the Return to Compliance Certification form to the EI D with a statement <br /> documenting the corrective actions that have been or will be taken for each violation, and any supporting <br /> paperwork, with in 30 days of receiving report. <br /> Please be aware as of January 1, 2013, all businesses are required to submit all hazardous materials information <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 70 COMPLY BY THE ABOVE NOTED DATES WILL BE BILLED AT THE CURRENT HOURLY RATE <br /> THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE <br /> Received By <br /> Received By(printed name and title): Date: <br /> (signature): Steven Baughman, General Manager <br /> id me and title): <br /> (signature): NICHOLAS LOEHRER, HM Specialist 1 (209 Inspector Phone: <br /> Inspector(printed name )468-0623 <br /> Page 4 of 4 <br />