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San Joaquin County ¢ , I ® <br /> Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, California 95205-6232 / I1 1 <br /> Telephone: (209) 468-3420 Fax: (209) 468-3433 Web:www.sjgov org/ehd <br /> Small Quantity Hazardous Waste Generator Inspection Report <br /> Facility Name: Facility Address: Date: <br /> STOCKTON PORT DISTRICT 120 HOOPER ST STOCKTON March 10 2016 <br /> activities and required fields. <br /> Wastes generated at this facility: Used fuel filters, waste absorbent, fuel contaminated liquids <br /> Documents provided: Return to Compliance Certification form, Schedule of free CUPA classes <br /> AFTER THE COMPLIANCE DATE, EHD WILL BILL FOR ALL TIME AND ACTIVITIES ASSOCIATED WITH BRINGING THIS <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 /> /V1 0 Printed Name and Title: STACY RIVERA, Senior REHS (209)468-3440 <br /> Page 6 of 6 <br />