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San Joaquin County <br /> Environmental Health Department �O <br /> 1868 East Hazelton Avenue, Stockton, California95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209) 468-3433 Web:www.sigov.org/ehd <br /> Small Quantity Hazardous Waste Generator Inspection Report <br /> Facility Name: Facility Address: Date: <br /> SIMS NIETAl_ I 1000 S AURORA ST, STOCKTON July 10, 2015 <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, DTSC2007 CAR fact sheet <br /> ALL EHD STAFF TIME ASSOCIATED WITH FAILING TO 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 S(fC - Received By(printed name and title): Date: 0L <br /> , � <br /> (signature): ialt zeil�3i I vV�� <br /> Inspector y.. Inspector(printed name and title): Inspec <br /> or[ <br /> r Phone: <br /> (signature7. _TACY RIVERA, Senior REHS <br /> Page 6 of 6 <br /> r'� <br />