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San Joaquin County <br />Environmental Health Department <br />1868 East Hazelton Avenue, Stockton, California95205-6232 <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: <br />Facility Address: <br />1351 <br />Date: <br />JIM THORPE OIL INC <br />N BECKMAN RD, LODI <br />�t 28 201 <br />CERS information was updated to include a submittal for the hazardous waste program. <br />-his facility contains the following waste streams: <br />used oil <br />used absorbent <br />used oil filters <br />Please be aware as of January1. 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 />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 EHD'S CURRENT HOURLY RATE <br />Received By <br />Received By (printed name and title): <br />Da <br />(signature):Jamie <br />Thorpe, Vice President <br />Inspector <br />Inspector (printed name and title): <br />Inspector Phone: <br />(signature): <br />,/ELOSO. Senior REHS <br />209) 468-3453 <br />Page 4 of 4 <br />