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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.sjgov.org/ehd <br /> Small Quantity Hazardous Waste Generator Inspection Report <br /> Facility Name: Facility Address: Date: <br /> WEST LANE CHEVRON 4747 WEST LN, STOCKTON March 09. 2018 <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 April 8, 2018. <br /> Please be aware as of January 1, 2013, all businesses are required to submit all hazardous materials information <br /> online to the California Environmental Reporting System (CERS) at http://cers.calepa.ca.gov. Be sure to include <br /> your hazardous waste activity in the Businesses Activities section in CERS in addition to any other relevant <br /> activities and required fields. <br /> Wastes generated at this facility: Fuel contaminated liquids, fuel contaminated solids, fuel filters <br /> Documents provided: Return to Compliance Certification form, schedule of free CUPA classes, sample <br /> hazardous waste label, application for a California hazardous waste ID number <br /> ���� .y /�.vG ,SS's!1" Gt L v,-.�-> ;� ?lG�C�✓� � �Lic ��/ZU��c'Y <br /> ��.ty,d � �� W C�'�''• C_Jr; ( �=tib`s 4.e C� <br /> sV"011>« <br /> �6 , mow; & C--,c'beIVA �e- L�6/E ;�r�Ned►,� �� <br /> -,FTER THE COMPLIANCE DATE, END WILL BILL FOR ALL TIME AND ACTIVITIES ASSOCIATED WITH BRINGING THIS <br /> FACILITY BACK INTO COMPLIANCE <br /> THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE <br /> Received by: Date: March 09. 2018 Inspector: Inspector Phone: <br /> Printed Name and Title STACY RIVERA, Senior REHS (209)468-3440 <br /> Raj Kumar, Manager <br /> FA0003719 PRO514134 SCO01 03/092016 <br /> EHD 22-01 Rev.09/22/16 Page 5 of 5 Small Quantity Hazardous Waste Generator OIR <br />