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ENVIRONMENTAL HEALTH DEPARTMENT <br />Po�.IN. SAN JOAQUIN COUNTY Unit Supervisors <br />Carl Borgman, R.E.H.S. <br />r '^FlOOr ;?i <br />Donna K. Heran, R.E.H.S. 304 East `Vel)eI Avenue, T111rC1 Mike Huggins, R.E.H.S., R.D.I. <br />Director <br />Stockton, California 95202-2708 Douglas N. Wilson, R.E.H.S. <br />Al Olsen, R.E.H. S. MargaretLagorio,R.EH.S. <br />.P • Program Manager Telephone: (209) 468-3420 Robrt Mcclellon, R.E.H.S. <br />c4CI F ORS` Laurie A. Cotulla, P-E.H.S. <br />Fax: (209) 464-0138 Marx Barceuos, R.E.xs, <br />Program Manager <br />UNIFIED PROGRAM HAZARDOUS WASTE INSPECTION REPORT <br />Facility Name <br />AddresII s C� t�� � • I C52D �D <br />lel OC-`t'�^ State �A Zip Code <br />City �. <br />�co()z � IDS Industry Type <br />tet, t7 i S W n 1n`i�P�S <br />EPAI.D.Number alp�� <br />_.�Phone �o <br />Facility Contact' 1 Ot a�OLPV— Title• <br />L t Title <br />Consent Given By <br />Inspection Date(s) (p -v j -Q3 Inspection Type (circle): Routine)Complaint Follow Up <br />REPRESENTATIVES PRESENT <br />Title <br />nArna — <br />Organization <br />1� <br />a.wu <br />ations <br />one <br />more <br />ons of the <br />iE <br />This report may identify conditions oobserved <br />Calthis aaCode of Reare lg ulations Tit eI 22 (22fCCR) rrelating tot'the man gementn0 <br />Health and Safety Code (HSC) <br />hazardous waste. The violations may be described in more detable inforlmed of additional violations.After completing t c <br />evaluation of the information obtained during the inspection, you may Mance within 6 <br />If any violations are noted, the facility is required to submit a signed Certification of Return to Comp <br />days, unless otherwise specified (A certification form is provided). <br />you for cone sc /additional violations. Issuance of this Inspection Report does not preclud <br />Failure to correct these violations within the scheduled period provided may result in San Joaquin County Environment <br />Health Department (EHD) citing y <br />EHD from taking any administrative, civil or criminal action as a result of the violations note . <br />t /�l 1 f �p Dat <br />rved by <br />Environmental Health Specialist r <br />Page 1'of <br />315102 <br />