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San Joaquin County <br /> Environmental Health Department <br /> 868 East Hazelton Avenue, Stockton, California 95205-6232 <br /> Telephone: (209)468-3420 Fax: (209)468-3433 Web:WwW.sjgov.org/ehd <br /> Large Quantity Hazardous Waste Generator Inspection Report <br /> Facility Name: Facility Address: Date: <br /> COUNTRY r"-UB SERVICE/ BO 'S LUBE & OIL 1 1403 W COUNTRY CLUB BLVD STOCKTON lAugust 13 2015 <br /> Complete and submit a copy of the Return to Compliance Certification form to the EHD with a statement <br /> documenting the corrective actions that have been or will be taken for each violation, and any supporting <br /> paperwork, by September 12 2015 . <br /> Please be aware as of Janua' 1, 2013, all businesses are required to submit all hazardous materials information <br /> online to the California Envir nmental Reporting System (CERS) at http://cers.calepa.ca.gov. Be sure to include <br /> your hazardous waste activit in the Businesses Activities section in CERS in addition to any other relevant <br /> activities and required fields. <br /> NOTES: <br /> - The facility generates used oil, used antifreeze, oil filters and waste absorbent. <br /> - The contingency plan did n t have Emergency Coordinators listed. This was corrected on site. <br /> - Provided SJCEHD CUPA class schedule <br /> - Provided HW labels and minimum requirements information. <br /> - Provided RTC. <br /> ALL EHD STAFF TIME ASSOCIATE WITAILPG TO COMPLY BY THE ABOVE NOTED DATES WILL BE BILLED AT THE CURRENT HOURLY RATE <br /> THIS FACIL Y IS SUB REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE <br /> Received By Received By(printed name and title): Date: <br /> (signature):— — l_ Kenny Silva, Lube Technician <br /> Inspector ,;�• Inspector(printed name and title): Inspector P ne: <br /> (signature): _ ,_ .� FATINAH ZAREEF, REHS (209) 953-7311 <br /> Page 5 of 5 <br />