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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 /> Small Quantity Hazardous Waste Generator Inspection Report <br /> Facility Name: Facility Address: Date: <br /> Dameron Hospital Core Laboratory 530 W Acacia St Stockton March 31 2015 <br /> Official Inspection report to be mailed certified Apri127, 2015. <br /> Complete and submit a completed copy of the Return to Compliance Certification with a statement addressing <br /> how each of the above listed violations has or will be corrected to this office within 30 days of receipt of the full <br /> written official inspection report. All follow-up for non-compliance will be billed at the current EHD hourly rate. <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 /> Received By() Received By(printed name and title): Date: <br /> (signature): Cl.il� 0,� DLe� Mark G. Koenig, Director <br /> Inspector Inspector(printed name and title): Inspector Phone: <br /> (sign MICHELLE HENRY, Senior REHS (209)468-3454 <br /> Page 6 of 6 <br />