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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.sagov.org/ehd <br /> CONTINUATION FORM Page: 5 of 5 <br /> OFFICIAL INSPECTION REP RT Date: 12/10/13 <br /> Facility Address: 1434 Yosemite Ave, Manteca Program: HW <br /> SUMMARY OF VIOLATIONS <br /> CLASS I,CLASS 11,or MINOR-Notice to Com <br /> 703. An emergency coordinator information is lacking. There must be at least one emergency <br /> coordinator on site or on call to coordinate emergency response measures, and the following <br /> information must be posted by a phone: the name and phone number of the emergency coordinator; <br /> location of fire extinguishers, spill control equipment, and if present, fire alarm; and the phone <br /> number of the fire department, unless the facility has a direct alarm. Immediately appoint an <br /> emergency coordinator and post the required information by a phone. A form was provided that can <br /> be used for this purpose and filled out at the time of inspection. CORRECTED. <br /> PROVIDED: Return to Compliance Certification, Modified Contingency Plan, and Schedule of Classes. <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 January 10, 2014. <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 B : Title: <br /> Elena Manzo (209) 953-7699 <br /> CONTINUATION FORM <br /> EHD 23-02-003 Rev 04!79/12 <br />