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ENVIRONMENTAL HEALTH DEPARTMENT <br /> SAN JOAQUIN COUNTY Unit Supervisors <br /> PpU1N C Carl Borgman,R.E.H.S. <br /> Donna K.Heron,R.E.H.S. 304 East Weber Avenue,Th1LC1 Floor Mike Huggins,R.E.H.S.,R.D.I. <br /> Director California 95202-2708 Douglas W.Wilson,R.E.H.S. <br /> Stockton, <br /> pl Olsen,R.E.H.S. Margaret Lagorio,R.E.H.S. <br /> p• Program Manager Telephone: (209) 468-3420 Robert McClellon,R.E.H.S. <br /> • c4�icoRi'� Laurie A.Cotulla,R.E.Hs. Fax: (209) 464-0138 Mark Barcellos,R.E.H.S.' <br /> Program Manager <br /> UNIFIED PROGRAM HAZARDOUS WASTE INSPECTION REPORT <br /> Facility Name <br /> Address AW S ' <br /> r State CA-Zip Code �`Jo <br /> --City - <br /> Industry <br /> EPA I.D.Number <br /> Phone <br /> Facility Contact MN�y C"V'"� Title F <br /> Consent Given By <br /> Inspection Date(s) ` P•• O Inspection Type (circle): In Complaint Follow-Up <br /> REPRESENTATIVES PRESENT <br /> Title Organization <br /> Name <br /> or � .��IAf <br /> s r�� --_ <br /> 1 -V-s 1 <br /> ations <br /> one or more <br /> ons of the California <br /> This report may identify conditions oobhe v horn ais aCodet of Reare gulations Titlto be e 22 (22fCCR) relating totlthe management of <br /> Health and Safety Code (HSC) n the attached <br /> evaluation of antinformation. Theviolations <br /> may during the ibed in more detail inspection,you may be informed of additional violations.After completing the <br /> the <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 /> d may result in San in County Environmental <br /> Failure to correct these violationwithin continu ng the /addi scheperduled/additional] olations. issuance of th s nspd provide ect onuReport does not preclude <br /> Health Department(EHD)citing you for <br /> EHD from taking any administrative,civil or criminal action as a result of the violations ted. <br /> Ir a tal th Specialist <br /> ived Date <br /> Page t of <br /> -3/5102 <br />