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San Joaquin County <br /> Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, California 95205-6232 <br /> Telephorâ–ºe: (209)468-3420 Fax: (209) 468-3433 Web:www.sjgov.org/ehd <br /> Small Quantity Hazardous Waste Generator Inspection Report <br /> Facility Name: Facility Address: TDEte: <br /> DELTA ARCO 1440 W DR MARTIN LUTHER KING JR BLVD August 19 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 /> Wastes generated by this facili y: <br /> - Used gasoline filters <br /> -Absorbent <br /> - Gasoline &water <br /> Provided: Return to Complianc Certification form, Modified Contingency Plan template, Schedule of free CUPA <br /> classes <br /> ALL EHD STAFF TIME ASSOCIATEDITH FAILING TO COMPLY BY THE ABOVE NOTED DATES WILL BE BILLED AT THE CURRENT HOURLY RATE <br /> THIS FACILITY IS SUBJ CT TO REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE <br /> Received By Received By(printed nam and title): Date: / <br /> (signature): <br /> Inspector Inspector(printed name and title): Inspector Phone: <br /> (signature` - .e' - STACY RIVERA, Senior REHS (209) 468-3440 <br /> Page 4 of 4 <br />