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11111.o, ..i <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.sicehd.com <br /> SMALL QUANTITY HAZARDOUS WASTE PROGRAM INSPECTION REPORT <br /> Facility Facility Inspection <br /> Name: Address: Date. <br /> Universal Waste - `. ;COS <br /> 715 CCR 66273.39 Failed to keep complete records of each shipment of universal waste for three years(V784) ❑ ❑ u <br /> w Other Violations <br /> 3010 See below Unlisted Administration/Documentation violation(V263) ❑ ❑ o <br /> 3020 See below Unlisted Training violation(V262) ❑ ❑ ❑ <br /> 3030 See below Unlisted Operations/Maintenanoe violation(V266) ❑ ❑ ❑ <br /> 3040 See below Unlisted Release/Leaks/Spills violation(V264) ❑ ❑ o <br /> 3050 See below Unlisted Abandonment/Illegal Disposal/Unauthorized Treatment violation(V265) ❑ 0 0 <br /> 'SUMMARY O , TIONS . <br /> I,CLASS II,or MINOR-Notice to Comply ' <br /> vrl %y C'A \\ Noe <br /> 0. 1cxl r ► �a� �, � ery c-tS ¢z t" <br /> ALL EHD STAFF TIME ASSOCIATED WITH FAILING TO COMPLY BY THE ABOVE NOTED DATES WILL BE BILLED THE CURRENT HOURLY RATE. <br /> THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE. <br /> Received by(si na Tulle: / Date: <br /> Received by(printed name): Inspector:� _ '^ Inspector phone: <br /> ,Yy! C� , a��1 9 -3 7311 <br /> EHD 22-01 REV 03/04/15 Page 3 HVV SQG INSPECTION REPORT <br />