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San Joaquin County +R 2,193 2016 <br /> Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, California95205-6232 ENVIRONMENTALTelephone: (209) 468-3420 Fax: (209) 468-3433 Web.www.sioov.orglehdF EI`iNVI-i DEPARTMENT <br /> ALT <br /> Small Quantity Hazardous Waste Generator Inspection Report <br /> Facility Name: Facility Address: Date: <br /> SUMMIT ROOFING SERVICES 705 INDUSTRIAL PARK , MANTECA January 06, 2016 <br /> Complete and submit a copy of the Return to Gompliance 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, by 2, by 2 <br /> Please be aware as of January 1, 2013, all businesses are required to submit all hazardous materials <br /> information online to the California Environmental Reporting System(CERS) at http://cers.calepa.ca.gov. BP <br /> sure to include your hazardous waste activity in the Businesses Activities section in CERS in addition to any <br /> other relevant activities and required fields. <br /> Notes, the following minor violation was corrected at the time of inspection: <br /> -An emergency coordinator and modified contingency plan information is lacking. There must be at least one <br /> emergency coordinator on site or on call to coordinate emergency response measures, and the following <br /> information must be posted by a phone: the name and phone number of the emergency coordinator; location of <br /> fire extinguishers, spill control equipment, and if present, fire alarm; and the phone number of the fire <br /> department, unless the facility has a direct alarm. Immediately appoint an emergency coordinator and post the <br /> required information by a phone. A form was provided that can be used for this purpose. This was corrected on <br /> site. <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 ^ /; <br /> Received By(printed name and title): Date: <br /> (signature): vN i CSL Mt. Asbury, owner Dl <br /> Inspector(printed name and title): Inspector Phone: <br /> Inspector 209 953-7699 <br /> (signature): ELENA A1ANZO, Senior REBS ( ) <br /> Page 6 of 6 <br />