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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.sigov.org/ehd <br /> Small Quantity Hazardous Waste Generator Inspection Report <br /> Facility Name: Facility Address: Date: <br /> LIBERTY RURAL FIRE DISTRICT 24124 N BRUELLA RD; ACAMPO March 16, 2017 <br /> paperwork, by April 15, 2017. <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 /> Documents reviewed: Modified contingency plan, used oil disposal records, bills of lading for used oil filters <br /> Documents provided: Sample hazardous waste label, Return to Compliance Certification form, Small Business <br /> Household Hazardous Waste Facility brochure <br /> AFTER THE COMPLIANCE DATE, EHD WILL BILL FOR ALL TIME AND ACTIVITIES ASSOCIATED WITH BRINGING THIS <br /> FACILITY BACK INTO COMPLIANCE- <br /> THIS <br /> OMPLIANCETHIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE <br /> Received by: Date: March 16, 2017 Inspector: Inspector Phone: <br /> Printed Name and Title: STACY RIVERA, Senior REHS (209) 468-3440 <br /> Donna Huston, District Secretary <br /> Page 5 of 5 <br />