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ENVIRONMENTAL HEALTH DEPARTMENT <br /> PpUiN SAN JOAQUIN COUNTY <br /> Unit Supervisors <br /> _ Donna K.Heran,R.E.H.S. 304 East Weber Avenue, Third Floor Carl Bergman,R.E.H.S. <br /> Director Mike Huggins,R.E.H.S.,R.D.I. <br /> At Olsen,R.E.H.S. Stockton, California 95202-2708 Douglas W.Wilson,R.E.H.S. <br /> �.. �c• Program Manager Telephone: (209) 468-3420 Margaret Lagorio,R.E.H.S. <br /> "�icoai+ Laurie A.Cotulla,R.E.H.S. Robert McClellon,R.E.H.S. <br /> Program Manager FaX: (2O9) 464-0138 Mark Barcellos,R.E.H.S. <br /> UNIFIED PROGRAM HAZARDOUS WASTE INSPECTION REPORT <br /> Facility Name <br /> Address Cl.�;- 1,,V <br /> City c'� 2 State CA-Zip Code 9g?�VL <br /> EPAI.D.Number 6"a hr=2q:S;�Z Industry Type <br /> Facility Contact Title Phone <br /> Consent Given By Title <br /> Inspection Date(s) Inspection Type (circle): Routine Complaint Follow-Up <br /> REPRESENTATIVES PRESENT <br /> Name Title Organization <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 result of the violations noted. <br /> Environmental Health Specialist <br /> Received by Date <br /> Page t of— <br /> 3/5/02 <br />