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SAN J 0 A Q I I I Irl Environmental Health Department <br /> CCUNT <br /> Small Quantity Hazardous Waste Generator Inspection Report <br /> Facility Name: Facility Address: Date: <br /> United#5446 1 1403 W COUNTRY CLUB BLVD, STOCKTON March 29, 2022 <br /> An inspection checklist was provided to the facility operator on the day of inspection. A complete report was <br /> finished on 3/29/2022 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, by April 29, 2022. <br /> Wastes generated by this facility: <br /> -Fuel contaminated liquid <br /> -Fuel contaminated solids <br /> To minimize person to person contact EHD is choosing to write the name of person receiving the report instead <br /> of having them sign. Starting September 1, 2018, all in-office CERS help will be provided at EHD hourly rate <br /> ($152). To schedule an appointment, please call (209)468-3420. <br /> Documents provided: Return to Compliance certification, flyer for free CUPA classes <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: March 29, 2022 Inspector: Inspector Phone: <br /> Printed Name and Title: LYDIA BAKER, REHS (209)616-3046 <br /> Emailed to Tom Robins, Staff Geologist <br /> FA0006438 PR0521815 SCO01 03/29/2022 <br /> EHD 22-01 Rev.12/06/2021 Page 5 of 5 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 />