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0 0 <br /> 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.sicehd.com <br /> SMALL QUANTITY HAZARDOUS,WASTE,PROGRAM INSPECTION REPORT, <br /> Facility Facility �1 C_)A3 Inspection'512-111 S <br /> Name: I�J Address: / 3 0.� Date: <br /> Universal Waste V "R COS <br /> 715 CCR 66273.39 Failed to keep complete records of each shipment of universal waste for three years(V784) ❑ ❑ <br /> Other Violations. V, -R. .COS. <br /> 3010 See below Unlisted Administration/Documentation violation(V263) ❑ ❑ ❑ <br /> 3020 See below Unlisted Training violation(V262) ❑ ❑ ❑ <br /> 3030 See below Unlisted Operations/Maintenance violation(V266) ❑ ❑ ❑ <br /> 3040 See below Unlisted Release/Leaks/Spills violation(V264) ❑ ❑ ❑ <br /> 3050 See below Unlisted Abandonment/illegal Disposal/Unauthorized Treatment violation(V265) ❑ ❑ ❑ <br /> SUMMARY OF VIOLATIONS <br /> `w;,i CLASS I, CLASS II,or MINOR-Notice to Comply <br /> n <br /> AL <br /> 1�� r <br /> Lao45 <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 FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE. <br /> Received by(signature): Title: Date: <br /> (J"Aa) -Ow" opuatws i 115 <br /> Received by(printed name): Inspector: Inspector phone: <br /> Yl ii q s -� \ <br /> EHD 22-01 REV 03/04/15 Page 3 HVV SOG INSPECTION REPORT <br />