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SAN J D AR I N Environmental Health Department <br /> I Y <br /> Small Quantity Hazardous Waste Generator Inspection Report <br /> Facility Name: Facility Address: Date: <br /> Morada Forklift 4283 N WILSON WAY, STOCKTON October 15, 2019 <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, 2019. <br /> Starting September 1, 2018, all in-office CERS help will be provided at EHD hourly rate ($152). To schedule an <br /> appointment, please call (209)468-3420. <br /> Documents provided during inspection: Schedule of free CUPA classes, Example of hazardous was labeling, <br /> Small Business Hazardous Waste Disposal Brochure. <br /> Waste streams found: <br /> - Used oil <br /> - Drained used oil filters <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, 2019 Inspector: Inspector Phone: <br /> Printed Name and Title: TRICIA DAI, EH Specialist (209)468-0331 <br /> Dustin Diaz, moradaforklift@gmail.com <br /> FA0014023 PR0518636 SCO01 10/15/2019 <br /> EHD 22-01 Rev.9/20/2019 Page 7 of 7 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 />