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SANJ O H U U I l , Environmental Health Department <br /> Small Quantity Hazardous Waste Generator Inspection Report <br /> Facility Name: Facility Address: Date: <br /> Dollar General#13585 2150 W Alpine Ave Stockton lAugust 06 2019 <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 EHUS CURRENT HOURLY RATE. <br /> Received by: Date: August 06, 2019 Inspector: Inspector Phone: <br /> Printed Name and Title: ELIANNA FLORIDO, REHS (209)468-0343 <br /> Jose Lomeli, District Manager <br /> FA0003269 PR0537833 SCO01 08/06/2019 <br /> EHD 22-01 Rev.09/27/2018 Page 10 of 10 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 />