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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.sigov.org/ehd <br /> Hazardous Materials Program Inspection Report <br /> Facility Name: ain4wi&& <br /> acility Address: Date:Dollar General#135934232 E Main St Stockton tember 01 2015As question#1 under the busins section stated, you are only required to report hazardous materials orhazardous waste to CERS at gallons for liquids,500 pounds for solids, or 200 cubic feet forcompressed gases (include liqand USTs); oris regulated under more restrictive local inventoryreporting requirements(shownsent); or the applicable Federal threshold quantity for an extremelyhazardous substance specifiedart 355, Appendix A or B; or handle radiological materials in quantities <br /> for which an emergency plan is required pursuant to 10 CFR Parts 30, 40 or 70. <br /> Please be aware as of January 1, 2013, all businesses are required to submit all hazardous materials information <br /> online to the California Environmental Reporting System(CERS) at http://cers.calepa.ca.gov. Be sure to include <br /> your hazardous material activity in the Businesses Activities section in CERS in addition to any other relevant <br /> activities and required fields. <br /> ALL EHD STAFF NIM.ZZ SOCIATED WITH FILI <br /> ANG TO COMPLY BV THE ABOVE NOTED DATES WILL B BILL DAT HE URR T HOURLY RATE. <br /> THIS FA ILI I SUBJECT TO REI!�: <br /> PECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE. <br /> ed By(printed name and title): DateReceived By(signature): hao, ASM <br /> Inspector(printed name and title): Ins c r Phone: <br /> Inspector 209 953-6212 <br /> (signature): h HAZA SAEED, HM Specialist I ( ) <br /> Page 2 of 2 <br />