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is <br /> San Joaquin County <br /> Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, California 95205-6232 <br /> Telephone: (209)468-3420 Fax:(209)468-3433 Web:www.siaov.org/ehd <br /> Small Quantity Hazardous Waste Generator Inspection Report <br /> Facility Name: Facility Address: Date: <br /> MOE AUTO REPAIR 2255 S AIRPORT WAY, STOCKTON November 25 2015 <br /> Wastes generated by the facility: <br /> - Used oil <br /> - Used antifreeze <br /> - Parts washer waste <br /> - Used oil filters <br /> Documents reviewed: A parts washer disposal record dated 11/23/15 <br /> Provided: Return to Compliance Certification form, Schedule of free CUPA classes, Sample hazardous waste <br /> label, Hazardous waste labels, Modified Contingency Plan template <br /> ALL EHD STAFF TIME ASSOCIATED WITH FAILING TO COMPLY BY THE ABOVE NOTED DATES WILL BE BILLED AT THE CURRENT HOURLY RATE <br /> THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE <br /> Received By Received By(printed name and title): ate: 9 <br /> (signature): Ahmed"Moe" Abdelwahed. TT / 2-5 // <br /> Inspector _ Inspector(printed name and title): Inspector Phone: <br /> (signature STACY RIVERA. Senior REHS (209)468-3440 <br /> Page 5 of 5 <br />