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ENVIRONMENTAL HEALTH DEPARTMENT <br />o Po u.IN o <br />Donna K. Henan, R.E.H.S. <br />Director <br />At Olsen, R.E.H.S. <br />'o . `p: • Program Manager <br />iiz RN Laurie A. Cotulla, R.E.H.S. <br />Program Manager <br />SAN JOAQUIN COUNTY <br />304 East Weber Avenue, Third Floor <br />Stockton, California 95202-2708 <br />Telephone: (209) 468-3420 <br />Fax: (209) 464-0138 <br />Unit Supervisors <br />Carl Borgman, R.E.H.S. <br />Mike Huggins, R.E.H.S., R.D.I. <br />Douglas W. Wilson, R.E.H.S. <br />Margiret Lagorio, R.E.H.S. <br />Robert McClellon, R.E.H.S. <br />Mark Barcellos, R.E.H.S. <br />UNIFIED PROGRAM HAZARDOUS WASTE INSPECTION REPORT <br />Facility Name W T <br />Address T <br />�-�� State CA- Zip Code <br />City <br />EPAI.D.Number-Industry Type� <br />Facility Contact ` <br />'P�t�A Title- <br />Consent <br />itle <br />Consent Given By <br />Inspection Date(s) t \';AA Inspection Type (circle): o�. to Complaint Follow -Up <br />REPRESENTATIVES PRESENT <br />Title <br />S� oma- acs <br />Organization <br />Calves — <br />0 <br />This report may identify conditions observed this day that are alleged to be violations of one or more sections of the California <br />Health and Safety Code (HSC) or the belifdescribed in more detail on the attached not rslheetstoAfter completing the <br />the management of <br />hazardous -waste. The violations may, <br />evaluation of the information obtained during the inspection, you maybe informed of additional violations. <br />Certification of Return to Compliance within 60 <br />If any violations are noted, the facility is required to submit a signed <br />days, unless otherwise specified (A certification form is provided). <br />may result in San <br />ironmental <br />ded <br />Health Department (EHD)�Citinlwithin period <br />Failure to correct these g you forcontinu ng/addi continuing,/additional issuance of this nspectonReport does Joaquin not preclude <br />EHD from taking any administrative, civil or criminal action as a result of the violations noted. <br />nvir i He t Specialist <br />eived by Da� <br />Page 1 of <br />3/5/02 <br />