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SAN J O A Q U I N Environmental Health Department <br /> COUNT Y <br /> Small Quantity Hazardous Waste Generator Inspection Report <br /> Facility Name: Facility Address: Date: <br /> Arco. Am pm 83333 550 W Valpico Rd, Tracy October 25, 2017 <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 November 24, 2017. <br /> Documents reviewed: manifests and disposal records, employee training log, contingency plan. <br /> Documents provided: return to compliance certification form, hazardous waste labels, sample hazardous waste <br /> label sheet, free CUPA training classes. <br /> AFTER THE COMPLIANCE DATE, EHD WILL BILL FOR ALL TIME AND ACTIVITIES ASSOCIATED WITH BRINGING <br /> THIS FACILITY BACK INTO COMPLIANCE. <br /> THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE. <br /> Received by: Date: October 25, 2017 Inspector: Inspector Phone: <br /> Printed Name and Title: BETTY HO, EH Specialist (209)468-3455 <br /> Edgar Rizkallah. Owner <br /> FA0020989 PR0536554 SC001 10/25/2017 <br /> EHD 22-01 Rev.09/22/16 Page 4 of 4 Small Quantity Hazardous Waste Generator OIR <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />