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San Joaquin County <br />Environmental Health Department <br />1868 East Hazelton Avenue, Stockton, California95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 468-3433 Web: www.sigov.orq/ehd <br />Large Quantity Hazardous Waste Generator Inspection Report <br />Facility Name: <br />Facility Address: <br />I <br />Date: <br />OILSTOP <br />)1 W k— "IN I ' LC <br />December 16, 20 <br />On site to conduct a rc :ne hazardous wasL,, ispection <br />-omplete and submit a copy of the Return to Compliance Certification form to the EHD with a statement <br />locumenting the corrective actions that have been or will be taken for each violation. and any supporting <br />)aperwork, by 1-16-15. <br />'lease be aware as of January1, 2013, all businesses are required to submit all hazardous materials informatior <br />)nline to the California Environmental Reporting System(CERS) at http-//cers.calepa.ca.gov. Be sure to include <br />your hazardous waste activity in the Businesses Activities section in CERS in addition to any other relevant <br />:activities and required fields. <br />?dote: <br />This facility generates the following waste streams: <br />- used oil <br />- used coolant <br />- drained used oil filters <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 ACILITY IS SUBJECT TO R INSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE <br />Received By �, <br />Received By (printed name and title): <br />Date: <br />1 . <br />(signature): <br />Inspector 6 <br />Inspector (printed name and title): <br />Inspector Phone: <br />(signature): <br />,RIS VELOSO. Senior REHS <br />Page 5 of 5 <br />