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Environmental Health Department <br />Small Quantity Hazardous Waste Generator Inspection Report <br />Date: <br />March 10, 2020 <br /> Facility Address: <br /> 1721 W YOSEMITE AVE, MANTECA <br /> Facility Name: <br /> KAISER PERMANENTE <br />SUMMARY OF VIOLATIONS <br />(CLASS I, CLASS II, or MINOR - Notice to Comply) <br />RemarksItem # <br />Overall Inspection Comments: <br />An inspection checklist was provided to the facility operator at the time of inspection. The inspector will provide a <br />complete report to the facility operator shortly. <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, within 30 days of receiving the complete inspection report. <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: Inspector Phone: <br /> (209) 468-0343 ELIANNA FLORIDO, REHS <br /> Inspector:March 10, 2020 Date: <br />Printed Name and Title: <br />Felisa Umana, Safety Specialist <br />FA0013836 PR0518550 SC001 03/10/2020 <br />EHD 22-01 Rev. 9/20/2019 Small Quantity Hazardous Waste Generator OIRPage 4 of 4 <br />1868 E. Hazelton Avenue | Stockton, California 95205 | T 209 468-3420 | F 209 464-0138 | www.sjcehd.com