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ENVIRONMENTAL HEALTH DEPARTMENT <br /> °�"'" SAN JOAQUIN COUNTY Un Supervisors <br /> trvisvrs <br /> Donna K.Heran,R.E.H.S. Third Floor Cart Borgman,R.E.H.S. i <br /> a 30 East Weber Avenue, Mike Huggins,R.E.H.S.,R.D.I. <br /> Director 2 7_2 � <br /> AlOlsen,lLE,H.S, Stockton, CaliforXil'd gs_a� 7�g Do,glas tV.Wilson,R.E.H.S. <br /> •. ;r Program Manager <br /> 'Telephone: (209) 465-3- 20 Niargaret Lagorio,R.F.H.S. <br /> 4S. <br /> 0196-�i Laurie A.Cotulla,R.E.H.S. � Robert M rcellC lei s, .F.H... <br /> Program Afa,aager Fax: ����} 4��-�l�� Mark Barcellos,R.E.H.S. <br /> UNIFIED PROGRAM HAZARDOUS WASTE INSPECTION REPORT <br /> Facility Name ft Pal V1 <br /> Address Zj elk.�lk <br /> City. <br /> 1� �o State GA Zip Code <br /> EPA I.D.Number <br /> U 5 ' L40 Industry Type VV(f <br /> r <br /> Facility Contact <br /> k(-V �I L,5 , © Title <br /> Consent Given By _Phoneme <br /> �r <br /> t l Title <br /> - <br /> Inspection Date(s) <br /> Inspection Type (circle): Routine Complain Follow-Up <br /> REPRESENTATIVES PRESENT <br /> Title Organization <br /> Name.. <br /> This report may identify conditions observed this clay 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 1 of !" <br /> 315/02 <br />