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SAN J O A Q I r N Environmental Health Department <br /> C C)U T I . AMENDED <br /> 5/10/2022 <br /> Small Quantity Hazardous Waste Generator Inspection Report <br /> Facility Name: Facility Address: Date: <br /> BOURBEAU RANCH 16865 GAWNE RD, COLLEGEVILLE May 06, 2022 <br /> -CUPA Free Training Classes Flyer <br /> -Inspection checklist <br /> -Amended complete inspection report with Corrective Actions Statement Worksheet <br /> The Amount of HW generated in last Calendar year at this site is unknown since the facility was not able to <br /> provide any receipts or manifests. Facility does not have an EPA ID number; no disposal records found on the <br /> DTSC website. The Amount of HW generated in laste Calendar year is approximated to be One Ton. <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. <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: May 10, 2022 Inspector: Inspector Phone: <br /> Printed Name and Title: HAZA SAEED, Lead Senior REHS (209)953-6212 <br /> Emailed to Andre Bourbeau, Son's Owner <br /> FA0017426 PR0539887 SCO01 05/06/2022 <br /> EHD 22-01 Rev.12/06/2021 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.sjgov.org/EHD <br />