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SAN J O A Q U I N Environmental Health Department <br /> CC)U ,IN I Y <br /> Small Quantity Hazardous Waste Generator Inspection Report <br /> Facility Name: Facility Address: Date: <br /> JACK RABBIT 1471 INDUSTRIAL AVE, RIPON JUIy 31, 2020 <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 inspector will provide <br /> a complete report to the facility operator within the next few weeks. <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 /> Document provided: Inspection checklist, hazardous waste label, hazardous waste label minimum requirements <br /> sheet. <br /> Waste streams observed: waste oil, waste antifreeze, waste paint, waste aerosols, soiled rags <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: July 31, 2020 Inspector: Inspector Phone: <br /> Printed Name and Title: JASON GAITAN, EH Specialist (209)468-9848 <br /> Robert Demont, CEO, Bob@jackrabbit.bz <br /> FA0009621 PR0513933 SCO01 07/31/2020 <br /> EHD 22-01 Rev.9/20/2019 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 />