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SAN J OAQ U I Environmental Health Department <br /> - U T <br /> Hazardous Materials Program Inspection Report <br /> Facility Name: Facility Address: Date: <br /> USG INTERIORS, LLC (LOOMIS) 2575 Loomis Rd, Stockton December 10, 2019 <br /> Complete and submit a copy of the Return to Compliance Certification form to the EHD with a statement <br /> documenting the corrective actions that have been or will be taken for each violation, and any supporting <br /> paperwork, within 30 days of receiving the completed inspection report. <br /> Starting September 1, 2018, all in-office CERS help will be provided at EHD hourly rate ($152). To schedule an <br /> appointment, please call (209) 468-3420. <br /> AFTER THE COMPLIANCE DATE, EHD WILL BILL FOR ALL TIME AND ACTIVITIES ASSOCIATED WITH BRINGING <br /> THIS FACILITY BACK INTO COMPLIANCE. <br /> THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE <br /> Received by: Date: December 10, 2019 Inspector: Inspector Phone: <br /> Printed Name and Title: ROBERT LOPEZ, Haz Mat Specialist 11 (209) 953-6214 <br /> Mike Matelski, Owner <br /> FA0007086 PR0519821 SCO01 12/10/2019 <br /> EHD 19-01 Rev.9/20/2019 Page 3 of 3 Hazardous Materials Program OIR <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />