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SAN JDANIN <br />COUNTY <br />Environmental Health Department <br />Small Quantity Hazardous Waste Generator Inspection Report <br />Facility Name: <br />Facility Address: <br />Date: <br />Dollar General #13585 <br />2150 W Alpine Ave Stockton <br />August 06 2019 <br />SUMMARY OF VIOLATIONS <br />(CLASS I, CLASS II, or MINOR - Notice to Comply) <br />Item # Remarks <br />Overall Inspection Comments: <br />An inspection checklist was provided to the facility operator at the time of inspection. The EHD will generate and <br />provide a complete report to the facility operator. <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 complete inspection report. <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: Date: August 06, 2019 <br />Inspector: <br />Inspector Phone: <br />Printed Name and Title: <br />ELIANNA FLORIDO, REHS <br />(209) 468-0343 <br />Jose Lomeli, District Manager <br />FA0003269 PR0537833 SCO01 08/06/2019 <br />EHD 22-01 Rev. 09/27/2018 Page 4 of 4 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 />