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SAN J O A Q U I N Environmental Health Department <br /> CC)U ,IN I Y <br /> Small Quantity Hazardous Waste Generator Inspection Report <br /> Facility Name: Facility Address: Date: <br /> MEDLINE INDUSTRIES (MANTECA CA) 2325 W LOUISE AVE, MANTECA November 09, 2020 <br /> Device(s)/Universal Waste-CRTs)/Universal Waste-CRT Glass". <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: November 09, 2020 Inspector: Inspector Phone: <br /> Printed Name and Title: JASON GAITAN, REHS (209)616-3036 <br /> Joel Bain,VP, Jbain@medline.com <br /> FA0025494 PR0544860 SCO01 11/09/2020 <br /> EHD 22-01 Rev.9/16/2020 Page 6 of 6 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 />