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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 /> Large Quantity Hazardous Waste Generator Inspection Report <br /> Facility Name: Facility Address: Date: <br /> JIFFY LUBE#2497 4715 N WEST LN STOCKTON October 21 2015 <br /> Overall Inspection Comments: <br /> *No Violations* <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 hftp://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 /> NOTES: <br /> * The facility generates used oil, used antifreeze, drained used oil/gas filters and oily water <br /> * Provided HW labels and minimum requirements 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 By Received By(printed name and title): Date: <br /> (signature): � John Galiza, Store Manager /D' <br /> Inspector _ Inspector(printed name and title): Inspector Phone: <br /> (signature): 2j4& cf,7 FATINAH ZAREEF, REHS (209) 953-7311 <br /> Page 4 of 4 <br />