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S A N J 0 A Q I I I Irl Environmental Health Department <br /> CCUN r <br /> Small Quantity Hazardous Waste Generator Inspection Report <br /> Facility Name: Facility Address: Date: <br /> STOCKTON BOAT REPAIR THE BOAT DOCK 2490 PICCOLI RD, STOCKTON December 10, 2019 <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: December 10, 2019 Inspector: Inspector Phone: <br /> Printed Name and Title: LYDIA BAKER, REHS (209)468-8257 <br /> Anthony Johnson,Worker <br /> FA0025486 PR0544849 SCO01 12/10/2019 <br /> EHD 22-01 Rev.9/20/2019 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.sjcehd.com <br />