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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.sjgov.org/ehd <br /> Small Quant ty Hazardous Waste Generator Inspection Report <br /> Facility Name: Facility Address: Date: <br /> SUSD STAGG HIGH SCHOOL 1621 BROOKSIDE RD STOCKTON December 15 2015 <br /> ALL EHD STAFF TIME ASSOCIATED WITH FAILING TO COMPLY BY THE ABOVE NOTED DATES WILL BE BILLED AT THE CURRENT HOURLY RATE <br /> THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT EHUS CURRENT HOURLY RATE <br /> Received By 00, Received By(printed name and title): Date: <br /> (signature): Butch Schmidt, Environmental Compliance Tech /a_/S—15 <br /> Inspector Inspector(printed name and title): Inspector Phone: <br /> (signature): FATINAH ZAREEF, REHS (209) 953-7311 <br /> Page 5 of 5 <br />