Laserfiche WebLink
Alk <br /> MF <br /> 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.sioov.ora/ehd <br /> Small Quantity Hazardous Waste Generator Inspection Report <br /> Facility Name: Facility Address: Date: <br /> ARCO 02076 1 800 E Kettleman Ln, Lodi r,)ry 21, 2016 <br /> On site to conduct a routine hazardous waste inspection. <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, by2-21-16. <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 http://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 /> AFTER THE COMPLIANCE DATE, EHD WILL BILL FOR ALL TIME AND ACTIVITIES ASSOCIATED WITH BRINGING <br /> THIS FACILITY BACK INTO COMPLIANCE <br /> THIS F TY 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): Sarah Samuels, Retail Compliance Coordinator <br /> Inspector Inspector(printed name and title): Inspect Phone: <br /> (signature): ARIS VELOSO, Senior REHS (209) 468-3453 <br /> Page 4 of 4 <br />