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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 /> SOUTHERN WINE &SPIRITS 1918 INDUSTRIAL DR. STOCKTON December 08, 2015 <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 by January 8, 2016. <br /> A copy of the inspection report and inspection photos was provided to Dave Butcher. <br /> Please be aware as of January 1, 2013, all businesses were required to submit all hazardous materials <br /> information online to the California Environmental Reporting System(CERS) at http://cers.calepa.ca.gov. Be sure <br /> to include your hazardous material activity in the Businesses Activities section in CERS in addition to any other <br /> relevant activities and required fields. <br /> ALL EHD STAFF TIME ASSOCIATED WITH FAILING TO COMPLY BY THE ABOVE NOTED DATES WILL BE BILLED AT THE CURRENT HOURLY RATE. <br /> THIS FACILITY IS SUBJE T TO REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE. <br /> Received By Received By(printed name and title): Date: <br /> (signature): _ Dave Butcher. /Z <br /> Inspector linspector(printed name and title): Inspector Phone: <br /> (signature): OPEPT I ' 'i Snerialist II (209) 953-6214 <br /> Page 4 of 4 <br />