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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.sjgov.org/ehd <br /> Small Quantity Hazardous Waste Generator Inspection Report <br /> Facility Name: Facility Address: Date: <br /> GM AUTO REPAIR 1019 S AURORA ST STOCKTON November 30, 2015 <br /> Provided: Return to Compliance Certification form, Schedule of free CUPA classes, Modified Contingency Plan <br /> template, Sample hazardous waste label, Hazardous waste labels <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 /> Received By Received By(printed name and title): Date: `. <br /> (signature): c _ Guillermo Cervantes, Owner ll�h' <br /> Inspector Inspector(printed name and title): Insp ctor hone: <br /> (signatur - — STACY RIVERA, Senior REHS (209)468-3440 <br /> Page 6 of 6 <br />