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SAN JOAQUIN <br />C.UUN I Y <br />Environmental Health Department <br />AMENDED <br />10/17/2019 <br />Small Quantity Hazardous Waste Generator Inspection Report <br />Facility Name: <br />Facility Address: <br />Date: <br />ULTA BEAUTY 41143 <br />2292 Daniels St, Manteca <br />October 10, 2019 <br />scanner classified the item as State Managed Waste (IMG 8591). <br />Please submit a statement and supporting documentation with your hazardous waste determination, including <br />current storage and labeling, for waste Maybelline New York Fit Me Matte + Poreless Liquid Foundation. <br />An inspection checklist was provided to the facility operator on the day of inspection. The EHD amended and <br />wrote the complete report, which replaced the initial checklist on 10/17/2019. The EHD amended the report <br />again, which replaces the initial report on 10/17/2019. <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, by 11/16/2019. <br />Provided: Hazardous Waste Minimum Labeling Requirements, List of Free CUPA Training Classes, Return to <br />Compliance Certification and Worksheet <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: October 17, 2019 <br />Inspector: <br />Inspector Phone: <br />Printed Name and Title: <br />ELIANNA FLORIDO, REHS <br />(209) 468-0343 <br />Emailed to Jeremy Hojnicki, Ulta Compliance Manager <br />FA0023515 PRO541074 SC001 10/10/2019 <br />EHD 22-01 Rev. 9/20/2019 Page 8 of 8 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 />