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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.sigov.org/ehd <br /> Small Quantity Hazardous Waste Generator Inspection Report <br /> Facility Name: Facility Address: Date: <br /> AMERICAN PILEDRIVING EQUIP INC 12985 LOOMIS RD, STOCKTON August 04, 2015 <br /> required fields. <br /> Provided: Return to Compliance Certification form, Modified Contingency Plan template <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 F CILITY IS SUBJECT TO REINSPECTION AT ANYTIME AT EHD'S CURRENT HOURLY RATE <br /> Received By h Received By(printed name and title): S1nk�n e- Ne-fw,4Y.. Date: <br /> (signature): /\ ,� �C' ager V i orti,5• <br /> Inspector Inspector(printed name and title): Inspector Phone: <br /> (signature STACY RIVERA, Senior REHS (209) 468-3440 <br /> Page 8 of 8 <br />