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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.siaov.org/ehd/unitiii.htmi <br /> CONTINUATION FORM Page: 5 of 5 <br /> OFFICIAL INSPECTION REPORT Date: 01/24/12 <br /> Facility Address: 4445 N Pershing Ave, Stockton Program: HW <br /> SUMMARY OF VIOLATIONS <br /> CLASS I,CLASS 11,or MINOR-Notice to Com <br /> 603, 605. One 55 gallon container of waste antifreeze was labeled "hazardous waste' only. The <br /> remaining label was illegible. Waste antifreeze was last removed from the facility on May 24, 2011. All <br /> 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 /> The operator labeled the container during the inspection. <br /> Notes <br /> 1. Complete the following by February 24, 2012 and send to the San Joaquin County Environmental <br /> Health Department: <br /> a. The Return to Compliance Certification form. <br /> b. A statement explaining how each violation was corrected. <br /> c. Supporting documentation. <br /> 2. The operator filled out and posted the emergency coordinator sheet during the inspection. <br /> 3. Aramark handles laundering of uniforms and shop rags. <br /> ALL EHD STAFF TIME ASSOCIATED wrrH FAILING TO COMPLY BY THE ABOVE NOTED DATES WILL BE BILLED AT THE CURRENT HOURLY RATE. <br /> THIS FACILITY IS SUBJECT TO REINSPECTION A ANYTIME AT EHD'S CURRENT HOURLY RATE. <br /> EHD Inspector: Received By 6 Title: <br /> Garrett Backus (209) 468-2986 a9f'i v�✓ <br /> EHD 23-02-003 Rev 07/12/71 CONTINUATION FORM <br />