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San Joaquin County AME D <br /> Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, California 95205-6232 3L l�- <br /> Telephone:(209)468-3420 Fax:(209)468-3433 Web:www.sioov.oro/ehd <br /> Small Quantity Hazardous Waste Generator Inspection Report <br /> Facility Name: Facility Address: 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. <br /> Please be aware as of January 1, 2013, all businesses are required to submit all hazardous materials <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 /> Documents Received: Return to Compliance Certification form <br /> Documents Reviewed: Disposal Records, Modified Contingency Plan <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 /> Received by: Date: <br /> October 17, 2017 Inspector: F(2pOeg) <br /> PhonePrinted Name and Title: BETTY HO, EH Specialist68-3455 <br /> Jesus Jurado, Compliance Manger <br /> FAM14852 PRO524845 S0001 101172017 <br /> EHD 22-01 Rev,09/22/16 Page 5 of 5 Small Quantity Hazardous Waste Generator OR <br />