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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.sjgov.org/ehd <br /> Small Quantity Hazardous Waste Generator Inspection Report <br /> Facility Name: Facility Address: Date: <br /> C&S ONE HOUR MARTINIZING 5756 PACIFIC AVE, STOCKTON December 16, 2014 <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, by January 16, 2014. <br /> Consent to perform the inspection, take photos and collect samples was given by Charles Patel the Owner via <br /> telephone . <br /> Please be aware as of January 1, 2013, all businesses are required to submit all hazardous materials information <br /> online to the California Environmental Reporting System(CERS) at http://cers.calepa.ca.gov. Be sure to include <br /> your hazardous waste activity in the Businesses Activities section in CERS in addition to any other relevant <br /> activities and required fields. <br /> NOTES: <br /> * Facility did not have an emergency coordinator or modified contingency plan. A form was provided and <br /> completed on site. <br /> * Provided Small Business Hazardous Waste Disposal Program brochure. <br /> * Provided Hazardous Waste Labeling Minimum Requirements sheet. <br /> ALL EHD STAFF TIME ASSOCIATED WITH FAILING TO COMPLY BY THE ABOVE NOTED DATES WILL BE BILLED AT THE CURRENT HOURLY RATh <br /> TMS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE <br /> ReceWetl By(si natu.re): TitleDate, <br /> IL <br /> Re ived By(printed name): Inspector: Inspector Phone: <br /> itiF ' FATINAH ZAREEF, REHS11.1 (209) 953-7311 <br /> 'Uil Zvi J4�' <br /> Page 4 of 4 <br />