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S_. 0 9 Nib SAN JOAQUIN COUNTY in ENVIRONMENTAL HEALTH DEPARTMENT 1868 East Hazelton Avenue, Stockton, California 95205-6232 Telephone: (209) 468-3420 Fax: (209) 468-3433 Web: www.socehd.com SMALL QUANTITY HAZARDOUS WASTE PROGRAM INSPECTION REPORT Facility Name: L-/�irC_n 1 Fact litys70 Address: Inspection Date: SUMMARY OF VIOLATIONS (CLASS I, CLASS II, or MINOR — Notice to Comply ALL EHD STAFF TIME ASSOCIATED WITH FAILING TO COMPLY BY THE ABOVE NOTED DATES WILL BE BILLED AT THE CURRENT HOURLY RATE. THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE. signatur Universal Waste I V R COS 715 1 CCR 66273.39 1 Failed to keep complete records of each shipment of universal waste for three years (V784) ❑ ❑ ❑ SUMMARY OF VIOLATIONS (CLASS I, CLASS II, or MINOR — Notice to Comply ALL EHD STAFF TIME ASSOCIATED WITH FAILING TO COMPLY BY THE ABOVE NOTED DATES WILL BE BILLED AT THE CURRENT HOURLY RATE. THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE. signatur Title: Other Violations V R COS 3010 See below Unlisted Administration/Documentation violation (V263) ❑ ❑ ❑ 3020 See below Unlisted Training violation (V262) ❑ ❑ ❑ 3030 See below Unlisted Operations/Maintenance violation (V266) ❑ ❑ ❑ 3040 See below Unlisted Release/Leaks/Spills violation (V264) ❑ ❑ ❑ 3050 See below Unlisted Abandonment/Illegal Disposal/Unauthorized Treatment violation (V265) ❑ ❑ ❑ SUMMARY OF VIOLATIONS (CLASS I, CLASS II, or MINOR — Notice to Comply ALL EHD STAFF TIME ASSOCIATED WITH FAILING TO COMPLY BY THE ABOVE NOTED DATES WILL BE BILLED AT THE CURRENT HOURLY RATE. THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE. signatur Title: Date: Received y (Ion ed name): Inspector: �/ Inspector Inspector phone::>- -, v ` "` EHD 22-01 REV 03/04/15 Pagev.foF ItHW SQG INSPECTION REPORI