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San Joaquin County <br /> Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, California95205-6232 <br /> Telephor' w <br /> : (209) 468-3420 Fax: (209) 468-3433 Web: ww.sigov.orq/ehd <br /> Small Quantity <br /> Hazardous Waste Generator Inspection Report <br /> Facility Name: Facility Address: Date: <br /> S B GAS & MARKET I ELE\i "H ST. TRACY I iy 12, 2016 <br /> documenting the corrective acti ns that have been or will be taken for each violation, and any supporting <br /> paperwork, by August 1 2016 . <br /> Please be aware as of anuary1, 2013, all businesses are required to submit all hazardous materials informatior <br /> online to the California Environmental Reporting System(CERS) at http://cers.calepa.ca.gov. Be sure to include <br /> your hazardous waste activity in the Businesses Activities section in CERS in addition to any other relevant <br /> activities and required fields. <br /> NOTES: <br /> - The facility did not generate hazardous waste in2015. <br /> - Provided hazardous waste label and minimal label requirement information. <br /> AFTER THE COMPLIANCE DATE, EHD WILL BILL FOR ALL TIME AND ACTIVITIES ASSOCIATED WITH BRINGING Thi <br /> FACILITY BACK INTO COMPLIANCE <br /> —'AIS FACILITY IS SUBJECT TO REINSPECTI0111 Ar Aniv Tln)IC AT FHD'S CURPr7nIT Po l[! ! v PATF <br /> Received <br /> by: / Date July 12. 201 F Inspector: Inspector Phone: <br /> Prin ed Name and Title: rA i iNAH ZAREEF. REHS <br /> Ken C ok. Assistant Manager tiW, <br /> Page 4 of 4 <br />