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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.s'cehd.com <br /> SMALL QUANTITY HAZARDOUS WASTE PROGRAM INSPECTION REPORT <br /> Facility Facility Inspection <br /> Name: �,,�I�� l l 1 � �� �� j� Address: • _6�) S qC �) Date: I `i —I <br /> Universal Waste V P. COS <br /> 715 CCR 66273.39 Failed to keep complete records of each shipment of universal waste for three years(V784) n ❑ <br /> Other Violations V R COS <br /> 3010 See below Unlisted Administration/Documentation violation(V263) 0 0 0 <br /> 3020 See below Unlisted Training violation(V262) ❑ ❑ ❑ <br /> 3030 See below Unlisted Operations/Maintenance violation(V266) ❑ ❑ ❑ <br /> 3040 See below Unlisted Release/Leaks/Spills violation(V264) ❑ ❑ ❑ <br /> 3060 See below Unlisted Abandonment/illegal Disposal/Unauthorized Treatment violation(V265) ❑ 0 ❑ <br /> SUMMARY OF VIOLATIONS <br /> CLASS I CLASS II or MINOR-Notice to Comply <br /> VLSI e ws Lt e— <br /> R C- ioy) t' WI YD I <br /> Q <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 END'S CURRENT HOURLY RATE. <br /> ed by(signature : Title: Date: <br /> Receive y printed narrV. Inspector: Inspector phone: <br /> I - 6 <br /> EHD 22-01 REV 03106/15 Page 3 HW SQG INSPECTION REPORT <br />