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ENVIRONMENTAL HEALTH DEPARTMENT <br /> pU1N <br /> SAN JOAQUIN COUNTY Umt Supervisors <br /> Carl Borgman,R.E.H. . <br /> Donna K.Heran,R.E.H.S. 304 East Weber Avenue,Third Floor Mike Huggins,R.E.H.S.,R.D.I. <br /> Director Douglas W.Wilson,R.E.H.S. <br /> �u Stockton, California 95202-2708 <br /> Al Olsen,R.E.H.S. 468_3420 Margaret Lagorio,R.E.H.S. <br /> :P• program Manager Telephone: (209) Robert McClellon,R.E.H.S. <br /> • o9ticoa`'� Laurie A.Cotuila,R.E.H.S. Fax: (209) 464-0138 Mark Barcellos,R.E.H.S. <br /> Program Manager <br /> �Z�r'�' <br /> 1x*Pr <br /> B UNIFIED PROGRAM HAZARDOUS WASTE INSPECTION REPORT <br /> ��- <br /> Facility Name L;o 2 NN) <br /> Address S 52 40 <br /> 1 State CA Zip Code <br /> City Ay�u it cici <br /> '7 S'L J Industry Type <br /> EPA I.D.Number A^ A^ <br /> � t �N I Set'V'� AAAAA-� -Phone_341 1 Z_7 3 <br /> Facility Contact SOI V Title <br /> itle <br /> Consent Given By <br /> S A rv� <br /> Inspection Date(s) <br /> �Inspection Type (circle): Routine Complaint Follow-Up <br /> REPRESENTATIVES PRESENT <br /> Title Organization <br /> Name 1505 Sc ff <br /> Fllrt- l.�tyt/dlG1, D� D ! <br /> r U 1 ^ I �arvlCA,ay that are <br /> ia <br /> This report may identify conditions observed <br /> ved tCalifis d: Code of Regulations, Titlee violations fsections <br /> Title 22 (22 CCR) relating to the management sof <br /> Health and Safety Code (HSC) or the <br /> hazardous waste. The violations may be described in more detail n the attached note sheets. After completing e <br /> i <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 /> menta <br /> Failure to correct these violations within the scheduled period provided may result in San Joaquin County s not reclud <br /> Health Department(EHD)citing you for continuingladditional violations. Issuance of this Inspection Report does not precludr <br /> EHD from taking any administrative,civil or criminal action as a result of the violations noted. _ <br /> ceived by Date <br /> 4EVI mental Health Specialist [- <br /> Page 1 of d�- <br /> 315/02 <br />