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Environmental Health Department <br />Small Quantity Hazardous Waste Generator Inspection Report <br />Date: <br />August 06, 2019 <br /> Facility Address: <br /> 2150 W Alpine Ave, Stockton <br /> Facility Name: <br /> Dollar General #13585 <br />Notes: <br />- The inspection report was amended by adding violation 103. <br />- Several containers of Copenhagen chewing tobacco and several Black & Mild cigars were found bagged and <br />inside the Smoking Cessation HW tote. Julie indicated the chewing tobacco and cigars were placed in the <br />Smoking Cessation HW tote because they were a waste and contained nicotine. <br />An inspection checklist was provided to the facility operator on the day of inspection. The EHD has amended <br />and written the complete report which replaces the initial checklist on 8/16/2019. <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 9/15/2019 . <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 />Provided: Modified Contingency Plan Template, List of Free CUPA Training Classes, Return to Compliance <br />Certification <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: Inspector Phone: <br /> (209) 468-0343 ELIANNA FLORIDO, REHS <br /> Inspector:August 06, 2019 Date: <br />Printed Name and Title: <br />Jose Lomeli, District Manager <br />Page 10 of 10 <br />FA0003269 PR0537833 SC001 08/06/2019 <br />EHD 22-01 Rev. 09/27/2018 Small Quantity Hazardous Waste Generator OIR <br />1868 E. Hazelton Avenue | Stockton, California 95205 | T 209 468-3420 | F 209 464-0138 | www.sjcehd.com