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ENVIRONMENTAL HEALTH DEPARTMENT <br /> 6 <br /> ?UN <br /> SAN JOAQUIN COUNTY Unit Supervisors <br /> Carl Borgman,R.E.H.S.! <br /> Donna K.Ileran,RX-H-S- Third Floor <br /> 304 East`Veber Avenue, Mike Huggins,R.E.H.S.,R.D.I. <br /> Director California 9520 02-2708 Douglas W.Wilson,R.E.H.S. <br /> Stockton, <br /> Margaret Lagorio,R.E.H.S. <br /> Al Olsen,RX.H <br /> Program Nfanager Telephone: (209) 469-3420 <br /> Robert McClellon,R.E.H.S. <br /> -W <br /> 'S' ax: (209) 464-0138 Mark Barcellos,R.E.H.S. <br /> Laurie A.Cotulla,R�E'H F <br /> Fib Program Nfanager <br /> UNIFIED PROGRAM HAZARDOUS WASTE INSPECTION REPORT <br /> Facility Name <br /> Address la)O� '2-3 - tate CA-Zip Code <br /> City Industry Type�o - <br /> EPA I.D.Nun-lber-Q--Lr�'� <br /> ,�,.,, ' .Phone k <br /> Facility Contactj��\x <br /> Consent Given By <br /> inspection Date(s)--J0� inspection Type (circle): Complaint FollOW-UP <br /> �� <br /> REPRESENTATIVES PRESENT <br /> Title Organization <br /> Name <br /> of CCR) <br /> more sections of the caiiforr <br /> are alleged to be viol22ns <br /> This report may identify conditions observed this day that of Regulations, Title (22 CCR) elating to the management <br /> Health and Safety Code (HSC) or the California Code ail 'on the attached note sheets. After completing t <br /> waste. The violations may be described in.more del ed of additional violations. <br /> hazardous Wa inspection,You may be inform <br /> evaluation of the information obtained during the ed Certification of Return to compliance within <br /> If any violations are noted,the facility is required to it a sign <br /> days,unless otherwise specified (A certification form is provided). . ty Environrner <br /> correct these violations within the scheduled period provided may result in San Joaquin coun not preCIL <br /> Failure to corr ting you for confinuingladditional violations. issuance of this Inspection Report does n <br /> Health Department(EHD) c! ative,civil or criminal action as a result of the violations noted. <br /> EHD from taking any administr <br /> Da <br /> E ko t H Specialist Received�by �," <br /> n nt <br /> Page*! of <br /> 115102 <br />