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ENVIRONMENTAL HEALTH DEPARTMENT <br /> O.N <br /> SAN JOAQUIN COUNTY <br /> oG Unit Supervisors <br /> Heran,R.E.H.S. Carl Borgman,R.E.H.S. <br /> Donna K <br /> 304 East Weber Avenue, Third Floor <br /> N: 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 /> �.. Pr•ogrnm Manager Telephone: (209) 468-3420 Margaret Lagorio, R.E.H.S. <br /> ,q C i F o.R � <br /> Laurie A.Cotulla,R.E.H.S. Fax: (209) 464-0138 Robert McClellon,R.E.H.S. <br /> Program Ntanager Mark Barcellos,R.E.H.S. <br /> UNIFIED PROGRAM HAZARDOUS WASTE INSPECTION REPORT <br /> Facility Name <br /> Address <br /> City-t bUV1j State CL Zip Code <br /> EPA I.D.Number �- z Sb Z IndustryType Wrs <br /> Facility Contact �� W Title /� y^5 `v Phone <br /> /�. rj Title ,�C/,�-1�� Alvah <br /> Consent Given By�g1'�S <br /> Inspection Dates) Inspection Type (circle): Routine Complaint Follow-Up <br /> REPRESENTATIVES PRESENT <br /> Name Title Organization <br /> w11 g 614 S , S CI-E, l/,I� , <br /> r �r V 4S'�. n� J-f r\ ^fir a�y�, � e vraVl- <br /> ��� <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 /> a <br /> f <br /> 2 <br /> nvironmental Health Specialist R eived by Date <br /> 3/5/02 Page 1 of <br />