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San Joaquin County <br /> Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, California95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209) 468-3433 Web: xww.sigov.org/ehd <br /> Small Quantity Hazardous Waste Generator Inspection Report <br /> Facility Name: Facility Address: Date: <br /> SUMMARY OF VIOLATIONS <br /> (CLASS I,CLASS II,or MINOR-Notice to Comply) <br /> Item# Remarks <br /> CCR 66262.34(f) Failed to completely label containers or tanks of hazardous waste. <br /> observed 'vithout Iabck In Iht <br /> azardou.s Yi-isle storage area, All hazar4d"His b isle' cnntyinrr;z 3nall Clc marked with the tc1lowing information: <br /> -t lie vurds'H.;1Zai'd0LIs '485te- <br /> - ncline aril.! address (it(lent'alol <br /> haZaid(nl5 iirai ilirs ;tgnilabl :;iitrt�`ivf, ie;idivi itioc.) <br /> physical stale I)naui<i snlut) <br /> .;nmposrtion t,t::;ntel)tsi <br /> :lUCUI7)[flat[(if) stilt date <br /> iTllflcdiately label these cofifaintrs. 'm puce III Im" pefly 1 tt ter. i --niainers and ensure thar ail iia-dxdouS Y. <br /> -011talners art. 1117rke"I all the rc-rtuirwl infr'rrnahon <br /> :) repeat violation II <br /> Overall Inspection Comments: <br /> Jri". the E; <br /> dOCLri-nerIII rg the C011-et.;tivf° ackiiis that have been or will be taken for each violation and any supporting <br /> paperwork by FebrUary 6 2016 <br /> Please I,* a,,vare as ct January '1 :2t:) 13 all businesses are required to submit all hazardous material;: <br /> Information Online to the California Environmental Reporting System (CERS) at http., cers.calepa.ca.gov Be <br /> sure to include your haz2r(JOt1S vvaste activity if) the Businesses Activities section in CERS in addition to any <br /> other relevant act)vitlt�s and recluired fields <br /> VVastes generated at this facilii, <br /> t✓'sed oil Gas contaminated debris <br /> Tank. bottoms Raiivstr.:rm water Universal waste <br /> Documents revie4ved: Dispo_.ai records. Contingency Plan. Vv'aiste analytical for slurry related 10.22/13. <br /> 1 1,513 ;all vith identical results and FG�L 1-.ab ID #si <br /> Ltocuments provided Return to Compliance Certificaiion foron 5cnedule of free CUPA classes <br /> AFTER THE COMPLIANCE DATE. ErID WILL BILL FOR ALL TIME AND ACTIVITIES ASSOCIATED WITH BRINGIN,.: <br /> THiS FACILITY BACK INTO COMPLIANCE. <br /> THIS FACILIT`:' !S SUPJECT TO RElr,icr n r. !,T t,r!'; 7-; 7- 771-1 r - _ <br /> Received By j Received By(printed name and title): Date: <br /> (signature): 1��� 117111— <br /> Inspector Inspector(printed name and title): Inspector Phone: <br /> (signaturet�-_ <br /> Page 5 of 5 <br />