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ENVIRONMENTAL HEALTH DEPARTMENT <br /> SAN JOAQUIN COUNTY <br /> Unit Supe rt rsnrs <br /> 1_2 Donna K.Heran,R.E.H.S. Carl Borgman R.E.H.S. <br /> 304 East Weber Avenue, Third Floor <br /> Director Mike Huggins,R.E.H.S.,R.D.I. <br /> Al Olsen,R.E.H.S. Stockton, California 95202-2708 Douglas W.Wilson,R.E.H.S. <br /> + Pra tarn Nanager Margaret Lagorio,R.EEH.S. <br /> . .�P Telephone: 09 468-3420 <br /> QI 6�6'�r' 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 1 f <br /> Address_�,� � <br /> City State C'A Zip Code <br /> EPA I.D.Number Jei �2Vndustry Type <br /> Facility Contac itle: ' Phone <br /> Consent Given By Title_ — <br /> Inspection Date(s) Inspection Type (circle): Routin Complaint Follow-Up <br /> REPRESENTATIVES PRESENT <br /> Na e Titl . O ganization <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 (HSG) 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 resu of the I o snoted. <br /> ' � U <br /> D e <br /> Environmental Health Specialist ceived by <br /> Page 1 of <br /> 315102 <br />