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SAN J OAQU I N Environmental Health Department <br /> CC LJ N T Y------- <br /> Small Quantity Hazardous Waste Generator Inspection Report <br /> Facility Name: Facility Address: Date: <br /> FARMINGTON CIRCLE K 4469 S ESCALON BELLOTA RD, FARMINGTON January 16, 2020 <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 February 17, 2020. <br /> Starting September 1, 2018, all in-office CERS help will be provided at EHD hourly rate ($152). To schedule an <br /> appointment, please call (209)468-3420. <br /> Documents provided during inspection: Return to Compliance certification, flyer for free CUPA classes, one <br /> hazardous waste label, hazardous waste labeling guidance <br /> Waste streams found: <br /> -Fuel Contaminated Absorbent <br /> -Used Fuel Filters <br /> -Used Fuel Hoses <br /> -Fuel Contaminated Test Water <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: January 16, 2020 Inspector: Inspector Phone: <br /> Printed Name and Title: LYDIA BAKER, REHS (209)468-8257 <br /> Kuldeep Singh, Manager <br /> FA0019881 PRO540786 SCO01 01/16/2020 <br /> EHD 22-01 Rev.9/20/2019 Page 6 of 6 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 />