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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.siaov.oro/ehd <br /> CONTINUATION FORM Page: 2 of 2 <br /> OFFICIAL INSPECTION REPORT Date: 03/17/14 <br /> Facility Address: 1005 S Stockton St., Stockton 95206 Program: HM <br /> SUMMARY OF VIOLATIONS <br /> CLASS I,CLASS II or MINOR-Notice to Com 1 <br /> Continued: <br /> b. Complete and submit the Facility Information Section, the Hazardous Materials Section and <br /> the Emergency Response and Training Plans Section. <br /> 2. Submit a CERS Lead User form provided at the time of inspection for your facility to the <br /> Environmental Health Department. <br /> 3. Complete and return the Return to Compliance form with proof the corrections have been <br /> completed by April 17, 2014. <br /> Remember, you are required to update your CERS account within 30 days of making a change to <br /> your Business Plan, Chemical Inventory or Site Map. <br /> Photos taken at the time of inspection were provided to Mr. Ortega <br /> Note, Ross Robert's has been in operation at this site since at least January 1, 2012. <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 SUBJECT TO REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE. <br /> EHD Inspecto . R eiv By: Title: <br /> 5y t77 o r <br /> EHD 2302-003 Rev 04/19/12 CONTINUATION FORM <br />