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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.sFcehd.com <br /> SMALL QUANTITY HAZARDOUS WASTE PROGRAM INSPECTION REPORT <br /> Facility Facility Inspection <br /> Name. Address. <br /> TDat.ate <br /> Universal Waste V R COS <br /> 715 CCR 66273.39 Failed to keep complete records of each shipment of universal waste for three years(V784) <br /> Other Violations V R COS <br /> 3010 See below Unlisted Administration/Documentation violation(V263) n n c <br /> 3020 See below Unlisted Training violation(V262) ❑ ❑ ❑ <br /> 3030 See below Unlisted Operations/Maintenance violation(V266) ❑ ❑ ❑ <br /> 3040 See below Unlisted Release/Leaks/Spills violation(V264) ❑ ❑ ❑ <br /> 3050 See below Unlisted Abandonment/lllegal Disposal/Unauthorized Treatment violation(V265) u ❑ ❑ <br /> SUMMARY OF VIOLATIONS <br /> CLASS I,CLASS 11,or MINOR-Notice to Comply <br /> c1 l G' �ct-Gr ufi <br /> tA�a }f me Tk- r l s11 (!rv_,,, -P— le,-C <br /> fgvo r4 tlic- �11 W)A 1,A o c I jr7 c- 4f C7 res <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(signature). i Title Date: <br /> Received by(printed nam ): Inspector: Inspector phone: <br /> 3y/n <br /> EHD 22-01 REV 03/04/15 Pa 3 HW SQG INSPECTION REPORT <br />