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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.siaov.org/ehd <br /> Small Quantity Hazardous Waste Generator Inspection Report <br /> Facility Name: Facility Address: I Date: <br /> RANCHO SAN MIGUEL MARKET` 612 S Cherokee Ln, Lodi October 17,2017 <br /> Complete and submit a copy of the Return to Compliance Certification form to the EHD with a statement <br /> documenting the corrective actions that have been or will be taken for each violation, and any supporting <br /> paperwork. i <br /> Please be aware as of January 1,2013, all businesses are required to submit all hazardous materials f <br /> information online to the California Environmental Reporting System (CERS)at hftp://cers,calepa.ca.gov. Be <br /> sure to include your hazardous waste activity in the Businesses Activities section in CERS in addition to any <br /> other relevant activities and required fields. <br /> I <br /> Documents Received: Return to Compliance Certification form <br /> Documents Reviewed: Disposal Records, Modified Contingency Plan <br /> { <br /> i <br /> AFTER THE COMPLIANCE DATE,EHD WILL BILL FOR ALL TIME AND ACTIVITIES ASSOCIATED WITH BRINGING <br /> THIS FACILITY BACK INTO COMPLIANCE. <br /> THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE. <br /> Recalvad by: <br /> Data: October 17,2017 Inspector: Inspector Phone: <br /> Printed Name and Tide: BETTY HO, EH Specialist (209)468-3455 <br /> Jesus Jurado, Compliance Manger - <br /> FA0014852 PRO524845 SC001 10/17/2817 <br /> EHD 22-01 Rev.09/22/16 Page 5 of 6 Small Ouanlity Hszerdeua Waste Generator OIR <br />