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r , <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 e [Q <br /> Name: ( <br /> Mart- Address: SUPN • VV I I GO waIns,.. . Date:ction -n <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 /> JCOSVOther Violations "(V265) n <br /> Seebelow <br /> w Unlisted Administration/Documentation violation(V263)ow Unlisted Training violation(V262)w Unlisted Operations/Maintenance violation(V266)w Unlisted Release/Leaks/Spills violation(V264) <br /> w Unlisted Abandonment Illegal Disposal/Unauthorized Treatmen ❑ <br /> SUMMARY OF VIOLATIONS <br /> 1171 A QS I, CLASS II, or MINOR—Notice to Comply <br /> r�D <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(signs / Title: Date: <br /> Received by(printed name): Inspector: Inspector phone: <br /> ��j_((j0jA1gW Sa-moo <br /> EHD 22-01 REV 03/04/15 age HW SQG INSPECTION REPORT <br />