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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.smgov.org/ehd/unitiii.html <br /> CONTINUATION FORM Page: 4 of 4 <br /> OFFICIAL INSPECTION REPORT Date: 06/16/11 <br /> Facility Address: 749 E. C harter Way, Stockton Program: HW <br /> SUMMARY OF VIOLATIONS <br /> CLASS I,CLASS II,or MINOR-Notice to Comply) <br /> 999. HSC 25185(c)(3) The omplete Return to Compliance paperwork for the May 13, 2008 inspection <br /> was not submitted. A dce ci ncy letter was issued on June 16, 2008. The operator of the site or facility <br /> which receives an inspectio report shall submit a written response to the department or the local officer <br /> or agency within 60 days of receipt of the inspection report, or with a shorter time as the department or <br /> local agency requires. This response shall include a statement documenting the corrective actions that <br /> have been or will be taken ty the operator. Immediately submit all necessary follow up paperwork for <br /> the 2008 hazardous waste generator inspection to the EHD. <br /> Complete and submit a copy of the Return to Compliance Certification to the EHD by July 16, 2011 <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 /> Note: Facility is currently sh t down to rebuild the store and make UST repairs/upgrades under <br /> SR0056531. <br /> Provided: <br /> - Schedule of FREE classes <br /> - Application for EPA ID number <br /> - Sample hazardous waste I bel <br /> - Hazardous waste labels <br /> - Small Business Household Hazardous Waste Facility brochure <br /> - Return to Compliance Cert fication form <br /> ALL EHD STAFF TIME ASSOCIATED WlirHFAILING TO COMPLY BY THE ABOVE NOTED DATES WILL BE BILLED AT THE CURRENT HOURLY RATE($122). <br /> THIS FACILITY IS SU ECT TO REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE. <br /> EHD Inspector: Received By: Title: <br /> EHD 23-02- &o <br /> 0 /10110 CONTINUATION FORM <br />