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San Joaquin County <br /> Environmental Health Department <br /> 1868 Eas Hazelton Avenue, Stockton, California 9511X232 <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: Date: <br /> NEWARK RECYCLED FIBERS 800 W CHURCH ST STOCKTON <br /> Provided: Return to Compliance Certification form <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): Jesus Jiminez, Plant Manager - r <br /> Inspector Inspector(printed name and title): Inspector Phone: <br /> (signatur — STACY RIVERA, Senior REHS (209)468-344: <br />