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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.siaov.org/ehd <br /> Large Quantity Hazardous Waste Generator Inspection Report <br /> Facility Name: Facility Address: Date: <br /> JAAS AUTO SERVICE 414 W CHARTER WAY STOCKTON June 16 2015 <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 /> Provided: Return to Compliance Certification form, Sample hazardous waste label, Hazardous waste labels, <br /> Application for EPA ID number <br /> ALL EHD STAFF TIMEASSOCLATED WITHeMMY TO COMPLYBY THE ABOVE NOTED DATES ILL BE BILLED AT THE CURRENT HOURLY RATE <br /> THIS I IS SUBJ C REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE <br /> Received By Received By(printed name andpe): 1 <br /> (signature): r d <br /> Inspector Inspector(printed name and title): Inspector Phone: <br /> (signature) _ ,' STACY RIVERA, Senior REHS (209) 468-3440 <br /> Page 10 of 10 <br />