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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 Quantity Hazardous Waste Generator Inspection Report <br /> Facility Name: Facility Address: Date: <br /> ARCO STATION#83560 12908 W BENJAMIN HOLT DR, STOCKTON January 27, 2016 <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 /> NOTES: <br /> - The facility generates used absorbent and waste water mixed with gas <br /> - No records of disposal for 2015 found on site or DTSC <br /> - Provided hazardous waste labels and minimum requirements information <br /> - Provided SJCEHD CUPA class schedule <br /> - Provided RTC <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): _ iAY Jin Cervantes. Cashier I — 2 <br /> Inspector Inspector(printed name and title): Inspector Phone: <br /> (signature): y � r FATINAH ZAREEF, REHS (209) 953-7311 <br /> �"'- Page 5 of 5 <br />