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ENVIRONMENTAL HEALTH DEPARTMENT <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 Mike Huggins,R.E.H.S.,R.D.I. <br /> Director Douglas W.Wilson,R.E.H.S. <br /> - AlOlsen,R.E.Hs. Stockton, California 95202-2708 <br /> =- .. Margaret Lagorio,R.E.H.S. <br /> Pro ram hfanager Telephone: (209) 468-34_0 Robert McClellon,R.E KS. <br /> ..c..i-.�P. S <br /> 54'Fp R� Laurie A.Corolla,R.E.H.S. Fax: (209 464-0138 Mark Barcellos,R.F,.H.S. <br /> Program Mmrager <br /> UNIFIED PROGRAM HAZARDOUS WASTE INSPECTION REPORT <br /> Facility Name <br /> Address w <br /> City <br /> 1A State CA Zip Code <br /> _ , __ `/1� <br /> EPA I.D.Number IndustryType AAA <br /> Phone <br /> Facility Contact " <br /> Consent Given By <br /> Inspection Dates) <br /> S a Inspection Type (circle): Routin Complaint Follow-Up <br /> REPRESENTATIVES PRESENT <br /> Name Title ^ Organi LaJio�l <br /> 1-e_ <br /> c <br /> to be violations <br /> one or more <br /> ons of the <br /> ia <br /> This Health and Safety Codeo(HSC) or the Californiaserved this aCode ofy that eRelgglaaons, Title 22 (22fCCR) relating t tithe managementof <br /> evaluation of the information obtained during he inspection,you may be infoibed in more detail on rmee attached note d After completing the <br /> med of additional vio ations <br /> a u <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 /> XEnvironmental <br /> IIN/�' �A' r%' ec rued by Health S aalist <br /> Page 1 of <br /> 3/5/02 <br />