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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.sigov.orQ/ehd <br /> Small Qua tity Hazardous Waste Generator Inspection Report <br /> Facility Name: Facility Address: Date: <br /> Qu ^ aTIKI I I ITHPP. VIMr- IP pl !/r <br /> online to the California Envir nmental 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 /> ALL EHD STAFF TIME A560GLA I 1-15 WITH FAILING 10 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: Title: Date: <br /> 0Q �� <br /> Inspector: Title: Phone: Date: <br /> Page 4 of 4 <br />