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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.sigov.or-Q/ehd/unitiii.html <br /> CONTINUATION FORM Page: 6 of 6 <br /> OFFICIAL INSPECTION REPORT Date: 05/11/12 <br /> Facility Address: Lodi News-Sentinel 125 N. Church St. Lodi, CA 95241 Program: HW <br /> SUMMARY OF VIOLATIONS <br /> CLASS I,CLASS II,or MINOR-Notice to Comply) <br /> 812. UW disposal records from the past three years were not found on site. A UW handler shall keep a <br /> record of each shipment of UW sent from the UW handler's facility to another facility. The record may <br /> take the form of a log, invoice, manifest, bill of lading or other shipping document. The record for each <br /> shipment of UW sent shall include the following information: <br /> (1) The name and address of the UW handler or destination facility to which the UW was sent; <br /> (2) The quantity [count or weight, consistent with, for example, section 66273.32, subsection (d)] of each <br /> type of UW sent (e.g., batteries, thermostats, lamps, electronic devices, CRTs, CRT glass); <br /> (3) The date of departure of the shipment of UW. <br /> A UW handler shall retain each record for at least three years. <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 6-11-12. <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: Re ived By: Titl <br /> Aris Cacapit (209) 468-3453 <br /> EHD23-02-003 Rev07/12/11 CONTINUATION FORM <br />