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ENVIRONMENTAL HEALTH DEPARTMENT <br />SAN JOAQUIN COUNTY Unit Supervisors <br />Po u.in o <br />'Third boor Cad Boins, R. .H.S., S. <br />'K . Donna K. Hera,, R.E.H.S. 304 East Weber Avenue, Mike Huggins, R.E.H.S., R.D.I. <br />a:rc 1c., 1 <br />-�i< Director Stockton, California 95202-2708 Douglas w, Wilson, R.E.H.S. <br />A Al Olsen, R.E.H(209) S. 468-3420 Margaret Lagorio, R.E.H.S. <br />•P • Program Manager Telephone: Robert McClellon, R.E.H.S. <br />Fax: (209) 464-0138 Mark Barcellos,R.E.H.S. <br />4ciFda� Laurie A.Cotulla,RE.H.S. <br />Program Manager <br />UNIFIED PROGRAM HAZARDOUS WASTE INSPECTION REPORT <br />Facility Name <br />�� State rA Zip Code <br />City <br />- Industry Type " � <br />EPA I.D.Number <br />Phone <br />Facility Contact <br />�4 <br />Title'6\U�\-(A � <br />Consent Given By <br />Inspection Date(s) utin <br />`y��a Inspection Type (circle): oComplaint Follow -Up <br />0 <br />REPRESENTATIVES PRESENT <br />Title <br />Name qze�6 <br />— 5b � NE 4at.cw u 6� <br />�4oCJs- <br />Organization <br />�9 <br />G sQp``ac� <br />This report may identify conditions observed this day that are alleged to be violations of one or more sections of the Califon <br />Health and Safety Code (HSC) or the California Code of Regulations, Title 22 (22 CCR) relating to the management <br />nosheets. 'on the attached <br />hazardous waste. The violations may be described in .m l be informed of additional violations After completing t <br />evaluation of the information obtained during the inspection, you madetail <br />If any violations are noted, the facility is required to submit <br />asigned Certification of Return to Compliance within <br />days, unless otherwise specified (A certificationor <br />fm is provided). <br />Failure to correct these violations within the scheduled period provided may result i San Joaquin County s not nme <br />Health Department (EHD) citing you for continuing/additional violations. Issuance of this Inspection Report does not precl <br />EHD from taking any administrative, civil or criminal action as a result of the violati0 note�d�/, <br />ecialist <br />Re c ived by <br />Date <br />Envi nm H a <br />Page i of <br />