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SAN JOAQ I N <br />COLSIi:l_.rY <br />Environmental Health Department <br />Small Quantity Hazardous Waste Generator Inspection Report <br />Facility Name: <br />Facility Address: <br />Date: <br />Pilot Travel Center Lathrop - 1017 <br />345 Roth Rd Lathrop <br />March 30 2018 <br />- hazardous properties <br />- physical state <br />- composition (contents) <br />- accumulation start date <br />Immediately label these containers and ensure that all hazardous waste containers are marked with all the <br />required information. Facility personnel Jose made a determination and marked the hazardous properties on the <br />hazardous waste label. This was corrected on site. <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: March 30, 2018 <br />Inspector: <br />Inspector Phone: <br />Printed Name and Title: <br />Doug Humphreys, General Manager <br />BETTY HO, EH Specialist <br />(209) 468-3455 <br />FA0023459 PR0542164 SCO01 03/30/2018 <br />EHD 22-01 Rev. 10/31/2017 Page 6 of 6 Small Quantity Hazardous Waste Generator OIR <br />1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />