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SAN" J D�l+ �� I 1411" Environmental Health Department <br /> COUNTY�l <br /> Large Quantity Hazardous Waste Generator Inspection Report <br /> Facility Name: Facility Address: Date: <br /> Caltrans-Lodi 845 E Pine St Lodi August 08 2018 <br /> complete report which replaces the initial checklist. The report was amended by the EHD. The amended report <br /> replaces the initial checklist. <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 amended inspection report. <br /> AFTER THE COMPLIANCE DATE, EHD WILL BILL FOR ALL TIME AND ACTIVITIES ASSOCIATED WITH BRINGING THIS <br /> FACILITY BACK INTO COMPLIANCE. <br /> THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE. <br /> Received by: Date: August 08, 2018 Inspector: Inspector Phone: <br /> .C7 �—Q Printed Name and Title: ELIANNA FLORIDO, REHS (209)468-0343 <br /> Earl Larkin, Superintendent <br /> FA0004925 PR0507085 SCO01 08/08/2018 <br /> EHD 22-02 Rev.09/27/2018 Page 11 of 11 Large 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 />