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• 0 <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> SAN JOAQUIN COUNTY Unit..pG Unit5'rrpervircrrs <br /> ? Donna IC.Horan,R.E.H.S. Carl 13orgman,R.E.H.S. <br /> 304 East Weber Avenue, Third Floor <br /> Ln: i� a '_ Di`r•ector Mike Huggins,REH.S.,R.M. <br /> 1 gal Olsen,R.E.H.S. Stockton, California 95202-270 <br /> Douglas W.Wilson,R.E.H.S. <br /> • e kP Program Manager Telephone: (209) 468-3420 Margarct Lagorio,R.E.11.S. <br /> 4 i fi oR`' Laurie A.Cotulla,R.E.H.S. Robert McClelion,R.E.H.S. <br /> program Manager Mark(209} 454-013$ Mark Sarcellos,R.E.H.S. <br /> UNIFIED PROGRAM HAZARDOUS WASTE INSPECTION REPORT <br /> Facility Name <br /> Address � � 4`+ v�C'V) s <br /> Cit �t�c State � Zip Code '-' <br /> Y <br /> EPA I.D.Number }'� i Industry Type <br /> l <br /> iii rti� �I'lt '1CU Title Pik C�1 r� �v`1 Phone ZVj h(4(', . 5'7`�1 <br /> Facility Contact r <br /> Consent Given By Title <br /> Inspection Dates 5`aUInspection Type (circle): Routing Complaint Follow-Up' <br /> Insp ( � - — <br /> REPRESENTATIVES PRESENT <br /> Name Title Organization <br /> Le I �) SSC- rq.D <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 continuingladditional 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 Received by Date <br /> f <br /> Page 1 of 4" <br /> 315102 <br />