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pUIN <br />�lFOR <br />r-ji <br />F,NVIRONMLNTAL <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 />HEALTH DEPARTMENT <br />Facility Name <br />Donna K. Heran, R.E.H.S. <br />Director <br />Al Olsen, R.E.H.S. <br />Program Manager <br />Laurie A. Cotulla, R.E.H.S. <br />Program Manager <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 />Margaret 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 />I <br />0''1 "a <br />Address <br />State CA Zip Code <br />City ``�, �C� � ,.� <br />Industry Type <br />EPA I.D.Number - <br />itle <br />Facility Contact <br />�►�C�p�Ot�� T��-�� Phone <br />Title ��!���,clt� <br />Consent Given By �- �''��� <br />Inspection Date(s) <br />� p-� Inspection Type (circle): tuft e Complaint Follow -Up <br />Name <br />����� �it�•cQ,tc01�Y <br />REPRESENTATIVES PRESENT <br />Organization <br />Title 22 (22 CCR) relating to the management <br />May identify conditions observed this day that are allegedtoviolations of one or more sections of the C31i orf <br />This report y completing <br />Health and Safety Code (HSC) or the California Code . Regulat► <br />ore detail 'on the attached note she <br />hazardous waste. The violations may be described m You may be inform d of additional violations After comp <br />evaluation of the information obtained during the inspection, y <br />If any violations are noted, the facility is required to submit a signed Certification of Return to Compliance within <br />days, unless otherwise specified (A certification form is provided). Joaquin County Environme <br />Failure to correct these violations within the <br />tinuin /addi�onalPeriod <br />v olations issuance of this Inspection Report does not precl <br />Health Department (EHD) citing you for con 9 <br />EHD from taking any administrative, civil or criminal action as a result of the violations noted. <br />a�rj�r �.cialist <br />.- <br />3/5/02 <br />Date <br />Received by <br />Page 1 of c3_ <br />