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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.s0ctov.orQ1ehd <br /> Small Quantity Hazardous Waste Generator Inspection Report <br /> Facility Name: Facility Address: Date: <br /> PLAZA LIQUOR#1 1 tOKEE LN. LODI 1 8, 2016 <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, by 4-28-16. <br /> Please be aware as of January 1, 2013, all businesses are required to submit all hazardous materials Informatior <br /> online to the California Environmental Reporting System(CERS) at httpi//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 /> AFTER THE COMPLIANCE DATE, EHD WILL BILL FOR ALL TIME AND ACTIVITIES ASSOCIATED WITH BRINGING THI: <br /> FACILITY BACK INTO COMPLIANCE <br /> THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE <br /> Received by: Date: Inspector: Inspector Phone: <br /> ��--►�� � Printed Name and Title: ARTS VELOSO, Senior REHS (209)468-3453 <br /> t <br /> Page 4 of 4 <br />