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Environmental Health Department <br />AMENDED <br />10/18/2019 <br />Small Quantity Hazardous Waste Generator Inspection Report <br />Date: <br />October 11, 2019 <br /> Facility Address: <br /> 2505 W HAMMER LN, STOCKTON <br /> Facility Name: <br /> SUTTER GOULD <br />Documents Provided: hazardous waste labeling information, contingency plan template, modified contingency <br />plan template, free CUPA classes flyer, Return to Compliance Certification and Corrective Statements report <br />Note: Sutter Health can combine the facilities at 2505 W. Hammer Lane, 2545 W. Hammer Lane, and 8011 Don <br />Avenue under one hazardous waste small generator program and one hazardous material business plan <br />program. If Sutter Health would like to consolidate each program, the San Joaquin County Environmental Health <br />Department can facilitate the process. <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: Inspector Phone: <br /> (209) 468-3429 CLAUDIA MURO, EH Specialist <br /> Inspector:October 18, 2019 Date: <br />Printed Name and Title: <br />Dwain Baughman, EVS Supervisor <br />FA0018191 PR0541406 SC001 10/11/2019 <br />EHD 22-01 Rev. 9/20/2019 Small Quantity Hazardous Waste Generator OIRPage 9 of 9 <br />1868 E. Hazelton Avenue | Stockton, California 95205 | T 209 468-3420 | F 209 464-0138 | www.sjcehd.com <br />Emailed to Dwain Baughman at BaughmanD@sutterhealth.org