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Page 5 of 5 <br />San Joaquin County <br />Environmental Health Department <br />1868 East Hazelton Avenue, Stockton, California 95205-6232 <br />Telep <br />one: (209) 468-3420 Fax: (209) 468-3433 Web: www.sjgov.ora/ehd <br />Small Quantity <br />Hazardous Waste Generator Inspection Report <br />Facility Name: <br />Facility Address: <br />Date: <br />Eleventh Street Chevron <br />7501 W ELEVENTH ST, TRACY <br />Se tember 20, 2017 <br />Please be aware as of Janu ry 1, 2013, all businesses are required to submit all hazardous materials information <br />online to the California Envir nmental Reporting System (CERS) at http://cers.calepa.ca.gov. Be sure to include <br />your hazardous waste activi in the Businesses Activities section in CERS in addition to any other relevant <br />activities and required fields. <br />Documents provided: Return to Compliance Certification form, schedule of free CUPA classes <br />AFTER THE COMPLIANCE DATE <br />EHD WILL BILL FOR ALL TIME AND ACTIVITIES ASSOCIATED WITH BRINGING THIS <br />FACILITY BACK INTO COMPLIANCE <br />THIS FACILITY IS SUB J <br />CT TO REINSPECTION AT ANY TIME AT EHUS CURRENT HOURLY RATE <br />Received by: Da <br />e: September 20, 2017 <br />Inspector: <br />Inspector Phone: <br />'j Pri <br />ted Name and Title: <br />STACY RIVERA, Senior REHS <br />(209) 468-3440 <br />CJ Jutla, Owner <br />Page 5 of 5 <br />