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hCULI V LU <br /> San Joaquin County F ' <br /> Environmental Health Department 1868 East Hazelton Avenue, Stockton, California 952 � 00NMEN1 , <br /> r�Gr�nRT�,nclo, � > <br /> Telephone: (209)468-3420 Fax: (209) 468-3433 Web:www.sjgov.org/ehd F <br /> Small Quantity Hazardous Waste Generator Inspection Report <br /> Facility Name: Facility Address: Date: <br /> VAN DE POL ENT INC-PRIMARY 14895 S AIRPORT WAY, STOCKTON January 13, 2016 <br /> Overall Inspection Comments: <br /> An inspection checklist was provided to the facility operator on the day of inspection. The EHD has written the <br /> complete report which replaces the initial checklist. <br /> Complete and submit a copy of the Return to Compliance Certification form to the EHD with a statement <br /> documenting the corrective actions that have been or will be taken for each violation, and any supporting <br /> paperwork, within 30 days of receiving the complete inspection report. <br /> Please be aware as of January 1, 2013, all businesses are required to submit all hazardous materials <br /> information online to the California Environmental Reporting System (CERS) at http://cers.calepa.ca.gov. Be <br /> sure to include your hazardous waste activity in the Businesses Activities section in CERS in addition to any <br /> other relevant activities and required fields. <br /> Wastes generated at this facility: <br /> -Used oil -Waste grease -Waste diesel <br /> -Oily absorbent -Used oil filters <br /> Documents reviewed: Disposal records <br /> Documents provided: Return to Compliance Certification form, Schedule of free CUPA classes, Modified <br /> Contingency Plan template <br /> AFTER THE COMPLIANCE DATE, EHD WILL BILL FOR ALL TIME AND ACTIVITIES ASSOCIATED WITH BRINGING <br /> THIS FACILITY BACK INTO COMPLIANCE. <br /> THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE <br /> Received By Received By(printed name and title): Date: <br /> (signature): U��� ; ,{ ��� <br /> Inspector t Inspector(printed name and title): Inspector Phone: <br /> (signature): f? �/"�— ELENA MANZO, Senior REHS (209) 953-7699 <br /> Page 7 of 7 <br /> I <br />