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1W 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.s*qov.o <br />Facility Name: Facility Address: Date: <br />LKQ ACME TRUCK PARTS 1 1049 S WILSON WAY, STOCKTON September 18, 2015 <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 />Used oil <br />Oily sludge <br />Waste gasoline <br />Used antifreeze <br />Used oil filters <br />Absorb- <br />• • <br />osocans <br />HIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT EHUS CURRENT HOURLY RAT_ <br />Received By <br />Received By (printed name and title): <br />Date: <br />(signature): <br />Lance Nunn, Production Manager <br />—1 <br />Inspector <br />Inspector (printed name and title): <br />Inspector Phone: <br />(sianatur <br />STACY RIVERA, Senior REHS <br />(209) 468-3440 <br />Pane 6 of 6 <br />