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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 868 East Hazelton Avenue, Stockton, California 95205-6232 <br /> Telep one: (209)468-3420 Fax:(209)468-3433 Web:www.slgov.org/ehd <br /> CONTINUATION FORM Page: 6 of 6 <br /> OFFICIAL INSPECTION REPORT Date: 05/20/13 <br /> Facility Address: 749E Or Martin Luther King Jr. Program: HW <br /> SUMMARY OF VIOLATIONS <br /> CLASS I,CLASS II,or MINOR-Notice to Comply) <br /> Complete and submit a co y of the Return to Compliance Certification to the EHD by June 20, 2013 <br /> along with a statement doc menting the corrective actions that have been or will be taken for each <br /> violation and any supportin paperwork. <br /> Provided: <br /> - Schedule of FREE classe <br /> -Application for CaliforniaPA ID number <br /> - Sample hazardous waste abel <br /> - CERS Lead User Authori ation form <br /> - Return to Compliance Ce ification form <br /> ALL EHD STAFF TIME ASSOCIATE WITH FAILING TO COMPLY BY THE ABOVE NOTED DATES WILL BE BILLED AT THE CURRENT HOURLY RATE. <br /> THIS FACILITY IS SUB ECT TO REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE. <br /> EHD Inspector: Received By: Title: <br /> Stacy Rivera (209) 468-3 40 � <br /> EHD 23-02-003 Rev 04/19/12 CONTINUATION FORM <br />