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S A J O A Q U I N Environmental Health Department <br /> C C)u T - AMENDED <br /> 4/21/2021 <br /> Small Quantity Hazardous Waste Generator Inspection Report <br /> Facility Name: Facility Address: Date: <br /> LODI FOOD&LIQUOR* 1225 W LOCKEFORD ST, LODI November 25, 2020 <br /> Overall Inspection Comments: <br /> An inspection checklist was provided to the facility operator on the day of inspection. A complete report was <br /> finished on 4/21/2021 and replaces the initial checklist. Violation 108 was removed and 111 was added. <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, within 30 days of receiving the complete inspection report. <br /> Documents provided: hazardous waste labeling guide document <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: Inspector: Inspector Phone: <br /> Printed Name and Title: CAROL PRESTO, EH Specialist (209)616-3061 <br /> FA0003690 PR0518841 SCO01 11/25/2020 <br /> EHD 22-01 Rev.9/16/2020 Page 10 of 10 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 />