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ENVIRONMENTAL HEALTH-DEPARTMENT <br /> SAN JOAQUIN COUNTY Unit Supervisors <br /> Donna R.Reran,R.E.H.S. 304 East Weber Avenue, Third Floor Cart Borgman,R.E. <br /> Mike Huggins,R.E.H.S.,R.D.I. <br /> c' < Director <br /> " Stockton, California 95202-2708 Douglas N.Nilson,R.E.HS. <br /> -�- r. Al Olsen,R.E.H.S. <br /> yPro ram,b(anagr Telephone: (209) 468-3420 Margaret Laono,R.E.H.Sg . <br /> Robert McClellon,R.E.H.S. <br /> 9ci.F'da`' Laurie A.Cotulla,R.E.H.S. Fax: )209 464-0138 <br /> ( Mark Barczllos,R.E.H.S. <br /> Program Manager <br /> UNIFIED PROGRAM HAZARDOUS WASTE INSPECTION REPORT <br /> Facility Name <br /> Address 6U� S terU <br /> City c' /-_,.ki State CA.Zip Code 95 zoo <br /> CAI <br /> EPA I.D.Number C <br /> On,rJ p 3 6 Industry Type <br /> Facility Contact <br /> I �. itle CD*4`r�ter'� t Phone <br /> I Title <br /> Consent Given By q/ J <br /> Inspection Date(s)— II°� /o Inspection Type (circle): Routi e Complaint Follow-Up <br /> REPRESENTATIVES PRESENT <br /> Name <br /> Title Organization <br /> �— <br /> Ic�c Klcie E� (�o rt Se N <br /> �(eSr v <br /> day that are alleged to be violations of one or more sections of the California <br /> This report may identify conditions observed this alifornia Code of Regulations, Title 22 (22 CCR) relating to the management of <br /> Health and Safety Code (HSC) or the C <br /> hazardous waste. The violations may al described in more detail on the attached note sheets. After completing the <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 60 <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 Environmental <br /> Health Department (EHD) citing you for continuing/additional violations. Issuance of this Inspection Report does not preclude <br /> EHD from taking any administrative,civil or criminal action as a result of the violations noted. <br /> 1 <br /> vironmental Specialist <br /> Re eived by Date <br /> Page 1 of <br /> 3/5/02 <br />