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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.sigov.org/ehd <br /> Small Quantity Hazardous Waste Generator Inspection Report <br /> Facility Name: Facility Address: Date: <br /> LODI MUNI SERVICE CENTER 1331 S Ham Ln, LODI October 15, 2014 <br /> Overall Inspection Comments: <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 11-14-14. <br /> Consent to perform the inspection, take photos, and collect samples was given by Randy Laney, Fleet Services <br /> Supervisor. <br /> ALL EHu SIAFF I IME AbSUUIAI ED WITH FAILING TO GOMPLY BY THE ABOVE NOTED DATES WILL BE BILLIED A I I HE UUKKIEN I HOUHLY �Lt <br /> THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE <br /> Race' d By(signature Title: Date: <br /> �S CI�✓ICP.s ✓e�t/ts(V- / 4 /S`�Ll <br /> Rec ved By(p into name): Inspector: Inspector Phone: <br /> ARIS VELOSO, Senior REHS (209)468-3453 <br /> Page 4 of 4 <br />