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ENVIRONMENTAL HEALTH DEPARTMENT <br /> o..:..- <br /> SAN JOAQUIN COUNTY Unit supervisors <br /> Carl Borgman,R.E.H.S. <br /> Donna K.Heran,R.E.H.S. 304 East Weber Avenue, Third Floor <br /> Director Mike Huggins,R.E.H.S.,R.D.I. <br /> Douglas W.Wilson,R.E.H.S. <br /> - AlOlsen,R.E.Hs. Stockton, California 95202-2708 <br /> ` . _ ,:p• Program Manager Telephone: (209) 468-3420 Margaret Lagorio,R.E.H.S. <br /> Fax: (209) 464-0138 RobeaMcClelton,R.E.H.S. <br /> ��Foa <br /> Laurie Cotulla,RE.H.S. Mark Barcellos,R.E.H.S. <br /> Program Manager <br /> UNIFIED PROGRAM HAZARDOUS WASTE INSPECTION REPORT <br /> Facility Name <br /> Address 9U' \ <br /> State CA Zip Code ��^`l <br /> City _ <br /> EPAI.D.Number <br /> Facility Contactba`�� <br /> Title lXW �&&' - Phone 'yAke 0�_C3 <br /> Consent Given Bye ��� <br /> � Inspection Type (circle): Routine Complaint Follow-Up <br /> Inspection Dates) �` <br /> REPRESENTATIVES PRESENT <br /> Name Title Organization <br /> S"-S — E� <br /> to be violations <br /> one <br /> more <br /> ons of the californiz <br /> This report may identify e (HSC) or the Californiaved this(Jay Code of Rare egulations, Title 22 (22fCCR)rrelating totlthe management o <br /> Health and Safety Code (HSC) completing the <br /> hazardous waste. The violations may be described in .more detail in the attached note sheets. After <br /> evaluation of the information obtained during the inspection,you may be informed of additional violations. <br /> If any violations are noted,the facility is required to submit a signed Certification of Return to Compliance within 6 <br /> days, unless otherwise specified (A certification form is provided). <br /> Failure to correct these violations within the scheduled period provided may result in San Joaquin County Environment <br /> Health Department(EHD) citing you for continuingladditional violations. issuance of this Inspection Report does not precluc <br /> EHD from taking any administrative,civil or criminal action as a result of the violations Ole", <br /> ted. <br /> Received by \ <br /> Environmental Health Specialist <br /> Page 1 of 5 <br /> 3/5/02 <br />