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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.sogov.org/ehd <br /> Small Quantity Hazardous Waste Generator Inspection Report <br /> Facility Name: T1704 <br /> acility Address: Date: <br /> PORTSIDE MACHINE SHOP INC W FREMONT ST, STOCKTON January 15, 2016 <br /> other relevant activities and required fields. <br /> Wastes generated at this facility: <br /> -Oily rags (managed through a uniform company) <br /> -Used oil <br /> Documents reviewed: Modified Contingency Plan <br /> Documents provided: Return to Compliance Certification form, Schedule of 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 W Received By(printed name and title): Date: <br /> (signature): tj�/ Ivan Dresar, Owner /.—/,5- /,(- <br /> Inspector Inspector(printed name and title): Inspector Phone: <br /> (signature): STACY RIVERA, Senior REHS (209) 468-3440 <br /> Page 4 of 4 <br />