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ENVIRONMENTAL HEALTH DEPARTMENT <br /> SAN JOAQUIN COUNTY <br /> Unit Supervisors <br /> Donna K.Heran,R.E.H.S. Carl Borgman,R.E.H.S. <br /> 304 East Weber Avenue, Third Floor <br /> Director <br /> Mike Huggins,R.E.H.S.,R.D.I. <br /> AI Olsen,R.E.H.S. Stockton, California 95202-2708 Douglas W.Wilson,R.E.H.S. <br /> Program Manager Telephone: (209) 468-3420 Margaret Lagorio,R.E.H.S. <br /> c'0 ClF5Ri'� Laurie A.Cotulla,R.E.H.S. Robert McClellon,R.E.H.S. <br /> Program Manager Fax: (209) 464-0138 Mark Barcellos,R.E.H.S. <br /> UNIFIED PROGRAM HAZARDOUS WASTE INSPECTION REPORT <br /> Facility Name <br /> Address Vt <br /> City e "-9"I State C.LZip Code Q5Z I`� <br /> EPALD.Number ow() Z((�'� IndustryType� <br /> Facility Contact (,AYl j/ Title- C� Me Z Phone aLtl'l SDN . <br /> u <br /> Consent Given By Title <br /> inspection Date(s)_ �_Inspection Type (circle): Routin Complaint FOIIOW-Up <br /> REPRESENTATIVES PRESENT <br /> Name Title Or anization <br /> l 6EV <br /> This report may identify conditions observed this day that are alleged to be violations of one or more sections of the California <br /> Health and Safety Code (HSC) or the California Code of Regulations, Title 22 (22 CCR) relating to the management of <br /> hazardous waste. The violations may be 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 re [he violations noted. <br /> Environmental Health Specialist <br /> Receive by 4De <br /> Page 1 of <br /> 3/5/02 <br />