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S0 JOA U 1 Environmental Health Department <br /> u ; i y <br /> Small Quantity Hazardous Waste Generator Inspection Report <br /> Facility Name: Facility Address: Date: <br /> Staples the Office Superstore#0726 2415 W Kettleman Ln, Lodi May 21, 2020 <br /> of having them sign. Starting September 1, 2018, all in-office CERS help will be provided at EHD hourly rate <br /> ($152). To schedule an appointment, please call (209)468-3420. <br /> Documents provided during inspection: Modified Contingency Plan template, Hazardous Waste Labeling <br /> Requirements guidance sheet, Free CUPA Training Classes information, Return To Compliance (RTC) <br /> Certification & Corrective Action Statement (CAS)worksheet. <br /> Waste streams found: sodium hypochlorite and bleach cleaner, used electronics, used lithium ion batteries, <br /> used/broken phone screens with electronic components. <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: Date: May 21, 2020 Inspector: Inspector Phone: <br /> Printed Name and Title: ELIANNA FLORIDO, REHS (209)468-0343 <br /> Emailed to Chris Wilson, General Manager <br /> FA0007714 PR0540365 SCO01 05/21/2020 <br /> EHD 22-01 Rev.9/20/2019 Page 7 of 7 Small Quantity Hazardous Waste Generator OIR <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />