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S A J O A Q U I N Environmental Health Department <br /> COUNTY <br /> Small Quantity Hazardous Waste Generator Inspection Report <br /> Facility Name: Facility Address: Date: <br /> GOODWILL INDUSTRIES OF SJV 1 129 S GRANT ST, STOCKTON January 27, 2022 <br /> An inspection checklist was provided to the facility operator on the day of inspection. A complete report was <br /> finished on 2/10/2022 and replaces the initial checklist. <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 /> Waste streams found: <br /> Medicine <br /> Aerosols <br /> Fluorescent Lamps <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: February 10, 2022 Inspector: Inspector Phone: <br /> Printed Name and Title: FREDERICK ERNEST, REHS (209)616-3026 <br /> Email sent to:Anna Castro, Director of Operations <br /> FA0005233 PR0543976 SCO01 01/27/2022 <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 />