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t <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.s'cehd.com <br /> SMALL QUANTITY HAZARDOUS WASTE PROGRAM INSPECTION REPORT <br /> Facility)�'�e Facility ZL <br /> Inspection <br /> Name C�L� r� Address:Z0Z/-7QtK- <br /> c � Date: Q <br /> Universal Waste V R COS' <br /> 715 CCR 66273.39 Failed to keep complete records of each shipment of universal waste for three years(V784) ❑ ❑ ❑ <br /> Other Violations V R COS <br /> 3010 See below Unlisted Administration/Documentation violation(V263) c ❑ ❑ <br /> 3020 See below Unlisted Training violation(V262) ❑ ❑ ❑ <br /> 3030 See below Unlisted Operations/Maintenance violation(V266) Cl Cl ❑ <br /> 3040 See below Unlisted Release/Leaks/Spills violation(V264) ❑ ❑ ❑ <br /> 3050 See below Unlisted Abandonment/Illegal Disposal/Unauthorized Treatment violation(V265) ❑ ❑ ❑ <br /> SUMMARY OF VIOLATIONS <br /> CLASS I,CLASS II,or MINOR—Notice to Comply <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 /> Re ved by(signature: Title: Date: <br /> Received by(printed name): Inspector: Inspector phone:'967 !�1 42� �� 1 <br /> l <br /> EHD 22-01 REV 03/04/15 HW SQG INSPECTION REPORT <br />