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—'0 `°'2 6�tg Environmental Health Department <br /> SAN JOAQUIN � <br /> COON I Y - <br /> Small Quantity Hazardous Waste Generator Inspection Report <br /> Facility Name: Facility Address: Date: <br /> SALVATION ARMY ADULT REHAB 1 1247 S WILSON WAY, STOCKTON October 25,2018 <br /> appointment, please call (209) 468-3420. <br /> Waste streams observed: e-Waste, Universal Waste,Antifreeze/Coolant <br /> Inspector provided RTC Certification, Flyer for free CUPA Classes and Modified Contingency Plan Template.An <br /> inspection report was provided to the facility operator on the day of inspection. The report was amended by the <br /> EHD. <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,within 30 days of receiving the amended inspection report. <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: Inspector: Inspector Phone: <br /> Printed Name and Title: TRICIA DAI, EHS Trainee (209)468-0331 <br /> FA0003949 PR0541457 SCO01 10/25/2018 <br /> EHD 22-01 Rev.09/27/2018 Paye 6 of 6 Small Quantity Hazardous Waste Generator QIR <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />