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SAN J 0 A Q I I I Irl Environmental Health Department <br /> CCUNr <br /> Small Quantity Hazardous Waste Generator Inspection Report <br /> Facility Name: Facility Address: Date: <br /> Marshalls 0381 2429 W Kettleman Ln, Lodi August 17, 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 /> To minimize person to person contact EHD is choosing to write the name of person receiving the <br /> report/checklist instead of having them sign. Starting September 1, 2018, all in-office CERS help will be <br /> provided at EHD hourly rate ($152). To schedule an appointment, please call (209)468-3420. <br /> Documents provided during inspection: Modified Contingency Plan template, Hazardous Waste Labeling <br /> Requirements guidance sheet, List of Free CUPA Training Classes <br /> Waste streams found: shampoos, body washes, hand soaps,jewelery cleaner, cosmetics, candles, electronics, <br /> aerosols <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: August 17, 2020 Inspector: Inspector Phone: <br /> Printed Name and Title: ELIANNA FLORIDO, REHS (209)468-0343 <br /> Cesar Fajarado, Store Manager <br /> FA0014477 PR0539288 SCO01 08/17/2020 <br /> EHD 22-01 Rev.8/11/2020 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.sjgov.org/EHD <br />