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ENVIRONMENTAL HEALTH DEPARTMENT <br />COUNTY <br />SAN JOAQ�UIN Unit Supervisors <br />Carl Borgman, R.E.H.S. <br />Third Floor <br />Donna K. Heran, R.E.H.S. 304 East Weber Avenue, ooins R.E.H.S., R.D.I. <br />Director Mike Huggins, <br />Stockton, California 95202-2708 as W. `Nilson, R.E.H.S. <br />Al olsen, R.E.H.S. Margaret Lagorio, R.E.H.S. <br />,. P • Program bfanager Telephone: (209) 468-3420 Robert McClelton, R.E.H.S. <br />cgiiFoa`'� Laurie A.Cotulla,R.E.H.S. Fax: (209) 464-0138 Mark Barcellos, R.E.H.S. <br />Program bfanager <br />UNIFIED PROGRAM HAZARDOUS WASTE INSPECTION REPORT <br />Facility Name <br />Address <br />State CA. Zip Code �G <br />City <br />_Industry Type ave '�'�a-\V— <br />EPA I.D.Number��� <br />Facility Contact%' <br />Title' Phone <br />Consent Given By F liotiv-H <br />Inspection Type (circle): <br />Inspection Date(s) <br />REPRESENTATIVES PRESENT <br />Title <br />Name <br />�i <br />outme Complaint o p <br />Organization <br />Oast <br />ement <br />ti conditions observed this day that are alleged to , Title 22n 22f CCR) relating toone or more t'the, manaons of gernCalnt <br />This report may identify or the California Code of Regulations, T <br />Health and Safety Code (HSC) <br />hazardous waste <br />. The violations may be described in .more detail 'on <br />of additional violations.After completing <br />evaluation of the information obtained during the inspection, you may <br />noted, the facility is required to submit a signed Certification of Return to Compliance within <br />If any violations are n , <br />days, unless otherwise specified (A certification form is provided). Environmer <br />provided Issuance of this Inspection Report does not precl� <br />' re to correct these violations within the scheduled Pallviolationmay result in San Joaquin County <br />Failure you for continuing/addition <br />Health Department (EHD) citing y <br />EHD from taking any administrative, civil or criminal action as a result of the violations noted. <br />\S O3 <br />Da <br />En ' o e Ith Specialist <br />"RRecelvey <br />Page 1 of <br />V5/02 <br />