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ENVIRONMENTAL HEALTH DEPARTMENT <br /> SAN JOAQUIN COUNTY C%nit Supervisors <br /> Carl Borgman,R.E.H.S. <br /> Donna K.Hcran,R.E.H.S. 304 East Weber Avenue, TI1lI(1 FI001' Mike llugOns, R.E.H.S.,R.D.1. <br /> Director Douglas\v Wilson,R.E.H.S. <br /> At Olsen,R.E.H.S. Stockton, California 95202-2705 <br /> Margaret Lagono,R.E 11 S. <br /> c .. <br /> i P Program Manager <br /> Telephone: (209) 465-342'0 Robert McClellon,R.E.H.S, <br /> 4CiFOR�` Laurie A.Corona,R.E.H.S. <br /> Fax: (209) 464-0138 Mark Barceups,R.E.H.s. <br /> Program Manager <br /> UNIFIED PROGRAM HAZARDOUS WASTE INSPECTION REPORT <br /> Facility Name <br /> Address 0 <br /> State CL Zip Code <br /> City <br /> r1 ,� 0 S f ,FSS b Industry Type_ <br /> EPA LD.Number�— , <br /> Facility Contact �i �^ 1Title <br /> Phone <br /> Title <br /> Consent Given By <br /> Inspection Date(s) s 6 a Inspection Type (circle): EFDComplaint Follow-Up <br /> REPRESENTATIVES PRESENT <br /> 2f� Organiza�n n <br /> Nam <br /> 1.0011 ? Title <br /> -t <br /> more <br /> ons <br /> of the <br /> This report may identify conditionsobserved <br /> California aCode ofeRelg9latio�s, Titlbe e 22 (22ations fone CCR)rrelating otlthe ma agementCalifornia <br /> of <br /> Health and Safety Code (HSC) o <br /> ations may be described in more detail on <br /> evaluation of hinformation <br /> e ll obtainedined during he inspection,you may be informed of additional aluvio ations.After completing 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)• result in San Joaquin County Environmental <br /> Failure to correct these violations within the scheduled period provided may <br /> Health Department (EHD)citing you for continuing/additional violations. Issuance of this Inspection Report does not preclude <br /> E from taking any administrative, civil or criminal action as a result of the violations noted. <br /> 1A ou j/ ' — � 6 a <br /> Received by <br /> Da <br /> qnlironmeiltal Health ecialist <br /> Page 1 of� <br /> 3/5/02 <br />