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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.sjaov.org/ehd <br /> Large Quantity Hazardous Waste Generator Inspection Report <br /> Facility Name: Facility Address: Date: <br /> SPACERAK 214 S KELLY ST. LODI 2015 <br /> documenting the corrective actions that have been or will be taken for each violation. and any supporting <br /> paperwork, by 4-19-15 <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 /> A H WITH rAILING rO . )m'IY R(VE Noli,t)UATESWILL BE BUEDAT THECLRREN <br /> T IF 't IS TO REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE <br /> Recelved / <br /> aceived By printed name and ti le): Date, <br /> (signature <br /> - 'r ,,14 r'7 f r <br /> Inspoctor . Inspector(printed name and tl ): Inspector Phone: <br /> (signature): ARTS VELOSO.Sensor REHS (209)468-3453 <br /> Page 7 of 7 <br /> RECEIVELI, <br /> MAY 12 2015 <br /> ENVIRONMENTAL <br />