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ENVIRONMENTAL HEALTH DEPARTMENT <br /> SAN JOAQUIN COUNTY U„;t Supervisors <br /> Donna K.Heran,R.E.H.S. Carl Borgman,R.E.H.S. <br /> Director Mike East Weber /aVOriDC' Third F100T Mike Huggins,R.E.H.S.,R.D.A. <br /> Ute' A]Olsen,R.E.H.S. Stockton, California 95202-2708 Douglas w Wilson,A F.H.S. <br /> �.. Program hfonaget Telephone: (209) 468-3420 Margaret Lagono,R.E.I .S <br /> q�IFORN Laurie A.Cotulla,R.E.H.S. Fax: (209) 464-0138 Robert McClellon,R.E.H.S. <br /> Program Manager Mark Barcellos,R.E.H.S. - <br /> UNIFIED PROGRAM HAZARDOUS WASTE INSPECTION REPORT <br /> Facility Name K <br /> Address <br /> Cit t a IA / �^ State QA Zip Code C( �3 G <br /> EPA I.D.Number I A t' Industry Type4u <br /> Facility Contact �t1�Ct��u.Title fie”— Phone 04 - t <br /> Consent Given By UAX'n� i ' Title <br /> Inspection Date(s) < < -> t3 Inspection Type (circle): outine Complaint Follow-Up <br /> REPRESENTATIVES PRESENT <br /> Na e TitleOrganization <br /> JOU I Le <br /> 5 �fL <br /> Gcc Q --?'_ <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 f m taking any administrative, civil or criminal action as a result of the violations noted. <br /> EvNironmental Health Spec' st ecely y <br /> Page 1 of <br /> 3/5/02 <br />