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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, California 95202-3029 <br /> Telephone:(209)468-3420 Fax:(209) 468-3433 Web:www.sioov.org/ehd/unitiii.html <br /> CONTINUATION FORM Page: 5 of 5 <br /> OFFICIAL INSPECTION REPORT Date: 09/02/11 <br /> Facility Address: 751 W Brookside Road, Stockton Program: HW <br /> SUMMARY OF VIOLATIONS <br /> CLASS I,CLASS II,or MINOR-Notice to Comply) <br /> 603) The following satellite hazardous waste containers did not have accumulation start dates: <br /> room C12A- Pharmacy - photos F, G. <br /> Immediately label these containers and ensure that all hazardous waste containers are marked with all <br /> the required information. Immediately contact a licensed hazardous waste hauler to dispose of waste <br /> stored on site in satellite containers for more than one year. Submit a copy of the disposal manifest to <br /> the EHD by November 15, 2011. <br /> 605) The following hazardous waste containers were not labeled completely: <br /> room C12A- Pharmacy - photos F, G, <br /> room B102C - Pharmacy - photos L, M. <br /> All hazardous waste containers shall be marked with the following information: <br /> 1. the words "Hazardous Waste" <br /> 2. name and address of generator <br /> 3. hazardous properties <br /> 4. physical state <br /> 5. composition (contents) <br /> 6. accumulation start date <br /> Immediately label these containers and ensure that all containers are marked with all the required <br /> information. <br /> Immediately contact a licensed hazardous waste hauler to dispose of hazardous waste stored on site in <br /> satellite containers for more than one year. Submit a copy of the disposal manifest to the EHD by <br /> November 15, 2011. <br /> Note <br /> Complete and submit a copy of the Return to Compliance Certification form with a statement of how <br /> each violation was corrected, including supporting documentation, by November 15, 2011. <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 Inspector Received By: Title. <br /> / O i/E C7 Ga(�✓ <br /> EHD 23-02-00 Rev 07112/11 CONTINUATION FORM <br />