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SAN JOAOUIN Environmental Health Department <br /> Small Quantity Hazardous Waste Gencr,lcr <br /> Fac 11Y X.me < I �� nch �Ycl r Tf"et <br /> Fanlnry eeN.e.: <br /> 7501 1. RiHdre Rd 101g <br /> t <br /> ST <br /> qex�on ) T�qe: L <br /> JCtT CtN I /M <br /> InspeCrbn Type: ) Prtpram'. <br /> �/ e _ o -vSaA o% <br /> Consent For. Co.--Glren Py: �/ I <br /> Ins ection Photos ❑Sam les JeT Q1/I <br /> Rmoulrt of M1arallov¢wash ganeretetl EP.R�]W� <br /> in tM1e last calendar Year(Jan-OeC): Os.opr <br /> [CR=Tlle]]LeNvnPo fak olgyuMms XSC=Heats eiE SHeIy CON Ciq•Cofegrgn6 ge}1Y.vey MOCKME ) <br /> V-VnYnm R•Rerya rNm C09-!ii'a'rn <br /> Record Keeping/pOcumentation <br /> 161 CCR6626212 Managade M1arallous washvrtYM1Outen enbTmllor number ' <br /> !, <br /> 103 CCR 66263,11 emled l0 debomine i/ewaab l5a11azaMouS Wasie <br /> P. 0 CCS <br /> 103 CCR fiB282A6(C) FadMb�efeintlaaaNm9 wtlsb EelemYneOm il>Vuding Vra9b awyab pl gRe b]Y�n <br /> plac gS <br /> 10d CCR fifi362.34(dJ(2) Na mMTlel mnOngavy n V n P <br /> vV cR cL03 <br /> 105 CCR 6626231(tl)(2) Na emaryenglmlinaM <br /> V R c c05 <br /> 106 CCR 68262]4(tl)(2) FeiICEi°bain a+!obyeas nl wayye handling and—ti pr ewes <br /> R O$ <br /> 101 CCR 6626220 1M 1.. mgnResb brEa <br /> rtsp°tmbn d M1ayaltl°us xagN <br /> 108 LCR fiQ82.23(a) Fair W mmple@,sign wdate npni! _V C R .Cps <br /> es[w TSC sn 0do sreNtranzPor:n DV to .f s <br /> 109 LCR W26223(a)(1) FailedbwWgenetafOr Mani/tmpiesb nTSC saN1in 30 days <br /> "a CCR 6626240(3) Faikdb kee -V -R CpS <br /> P signed myy otmanRes6"'mIbe duiBriat lladlM for pna y, <br /> 111 CCR M282.42(a)( im Failed btarpy wtlb unilolm hoosM.us wasR InItiw uiremenC: <br /> °V °R c(p5 <br /> s*reprep <br /> 112 CCR 66266.7(a) Fair fc msRe detemlina4w cV cR .CCS <br /> fm Lvq Ilielnsal <br /> 113 HSC 251602(6)(3) FaihtlfO kee - °V °R °CO$ <br /> P mPles INmnsdNalul rmnR tin9laxips br Mree Y®y <br /> 114 HSC 25160.2(0)(4) Conm4dalM marital2 V a R c!D5 <br /> m>pipls bilNl b mrlbin pvrrylete infomation <br /> 115 COR Faa2ES.e1(aJ(4)(9) F24M to tslsTw cV uR <br /> q o1 maMesf or bJl of latlin9 for-sons pad add patten¢b]Yeas <br /> 116 HSL 25143,10 F.&Mf p,,id.,,fa Moo lwNWoV eR cC45 <br /> Rghnn terydaNs nlsler¢I to tivm Me vgvy3n or oIoomos011 <br /> 11] HSC 2518$(c),, FailM as submits xsitlenres °V °R cC65 <br /> P]n3e yiNin 30 tlay5 of noroo,ing an inapootan l,pg1 <br /> 118 HSC ,111 0,10(d) FaBurebannualy 3yblryl nohficalron os <br /> .11 <br /> cV cR cCOF <br /> 9efle2lq-inlerll b'vnoleN mersoWala M1---'--.ys <br /> 119 HSC 254p4(e)(4) F.11—I-rorion Pmgryr data In ale ;mkonnia Environ rsiMs, °1r °R e C0$ <br /> 120 HSC 251c4.1 z eP°s+ng SY am(CFAs) AV =R ,qS <br /> Face]y—.-0"'ron and gritlrepa <br /> en 3nse w,n]0 ears to,mbar Vplatl°ns <br /> Tr,abnen4 Trznsponand Ois -� - <br /> 201 Hsc25163(a) T.r.NgwaartiSnM dvardoua wabmanan Posal <br /> etl <br /> 202 HSC 251885(0) as spoderw;dwt slid le3isbeyon <br /> Fmetl or dosed dlspasd IN HW at an unauplonzed <br /> A3 HSC ,ti 80,5,, i2M1gpylM wquuN pans °V =R Cp,S <br /> p°rbpnn orna:ardwa wash 10 an.-Wortia.p°im <br /> 9N HSC 25201(3) Fattest 10 oMain a permdb treat t °vs biaNwade .V c R c CO$ <br /> 305 HSC 25Fa"M bn¢n cV .ft =Cps <br /> age owl of mTamirt3lM wiXl otller lulanbus wage as M1azanloos waslo <br /> IDB HSC 3511 M,2(c)!I) Waste s0eam wgeneralw aV cR cC0.S <br /> Y eligible fn use mnsolkaletl mardesNg pr .dere <br /> EN0V CR cCp <br /> 21q Rn.PgI)llptB <br /> F{ q PRp-19+91 SGYCV V 2A�B <br /> 1858 E_HgMft0n Avenue i SUICIRGn, California 952051 <br /> Gof <br /> ,ul <br /> 1T 209468-34201 F 2094&1-0133 <br /> o,aply rre= .aerez o-w Gn <br /> 1 w«w.sjWntl.CorR <br />