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S Q N ] O Q Q U I N Environmental Health Department <br /> COUNTY-- <br /> Small Quantity Hazardous Waste Generator Inspection Report <br /> Facility Name: Facility Address: Date: <br /> Hobby Lobby#768 1 2350 W Kettleman Ln, Lodi August 13,2020 <br /> template, Return To Compliance Certification & Corrective Action Statement form <br /> Waste streams found: none at the time of inspection <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: August 13, 2020 Inspector: Inspector Phone: <br /> Printed Name and Title: ELIANNA FLORIDO, REHS (209)468-0343 <br /> Carl Berry, Store Manager <br /> FA0024122 PRO542556 SCO01 08/13/2020 <br /> EHD 22-01 Rev.8/11/2020 Page 5 of 5 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.sjgov.org/EHD <br />