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MaL <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.sjg ov.or,/q ehd <br /> Large Quantity Hazardous Waste Generator Inspection Report <br /> Facility Name: Facility Address: Date: <br /> Pape Machine Inc. 8621 S EL DORADO ST French Cam April 16 2015 <br /> your hazardous waste activity in the Businesses Activities section in CERS in addition to any other relevant <br /> activities and required fields. <br /> Provided: Return to Compliance Certification form <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 ByReceived By(printed name and title): Date: <br /> (signature): �/ Mary Dias, Product Support Manager <br /> Inspector V Inspector(printed name and title): Inspector Phone: <br /> (signature). STACY RIVERA. Senior REHS (209) 468-3440 <br /> Page 6 of 6 <br />