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9171 9690 0935 0084 8423 57 <br /> SAN JOAQUIN COUNTY - <br /> N: to %W—)V-- <br /> ENVIRONMENTAL <br /> W—)VENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> FOR `P Telephone: (209)468-3420 Fax:(209) 464-3433 Web:www.sjgov.org/ehd <br /> 9171 9690 0935 0084 8423 64 <br /> OFFICIAL INSPECTION REPORT - - <br /> 4o<act,i <br /> FACILITY NAME/TYPE: Quick Shop DATE: Mar 1 1 , 2015 <br /> ADDRESS: 2072 W. Yosemite Ave. CITY: Manteca ZIP CODE: 95367 <br /> OWNER/OPERATOR: Chris Adams(Elite IV Contractors Inc technician) TELEPHONE#: 209 461-6337 <br /> TYPE OF INSPECTION: ❑COMPLAINT ❑ CONSULTATION ❑x OTHER PROGRAM 2546 RECORD <br /> ELEMENT: ID#: <br /> NATURE OF COMPLAINT/CONSULTATION: <br /> Chris Adams (technician) of Elite IV Contractors Inc. (2535 Wigwam Dr. Stockton, CA 95205 (209) <br /> 461-6337) was working on the hose of dispenser number 7 and spilled approximately 7.5 gallons of <br /> fuel. <br /> OBSERVATIONS/COMMENTS: <br /> On site to verify spill location and verify clean up. <br /> CORRECTIVE ACTIONS: <br /> The business operator of Quick Shop was on site and used absorbent to clean up the spill. The <br /> waste generated was placed into the Quick Shop hazardous waste container for contaminated <br /> absorbent. <br /> Submit a copy of the hazardous waste manifest for the proper disposal of the contaminated <br /> absorbent. <br /> Time spent on this issue may be billed at EHD's current hourly rate. <br /> CORRECT BY: <br /> INSPECTED BY: �^. r <br /> RECEIVED BY: f III/" Y (� G S(� DATE: <br /> EHD 48-05 Rev.04/19/12 INSPECTION REPORT <br />