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ENVIRONMENTAL HEALTH DEPARTMENT <br /> P��'N SAN JOAQUIN COUNTY <br /> v co Gert Supervisors <br /> z ^"�—" :i Donna K.Heran,R.E.H.S. Carl Bor man,R E FLS. <br /> Di,ector304 East Weber Avenue, Third Floor \li�.,Hne m,.R.E.H.S.,R.D.I. <br /> 11�v ��, Al Olsen,R.E.H.S. Stockton. California 9202-2708 Dorr ia>w Wilson.R.E.H.S <br /> - <br /> • Pro ram Manager \tar it t L rgorio R.E.H.S. <br /> ,.�, g g Telephone: (_09) X68-340 <br /> 4�i�FOFd Laurie A.Cotulla,R.E.H.S. Rr'_err McClellon.R.E.H.S. <br /> Program Manager Far: (2�9) -t6�-Ot38 \T,rL Barccllos R.E.H.S. <br /> UNIFIED PROGRAM HAZARDOUS WASTE INSPECTION REPORT <br /> Facility Name <br /> Address <br /> City 5 State CA Zip Code �1 <br /> EPAI.D.Number �O�ZS/% /� Industry Type_ <br /> Facility ContactTitle• Phone _ <br /> Consent Given By ` I/ Title at, Clio —�^-/2/c,/ <br /> Inspection Date(s) 3 U�7 Inspection Type (circle): Routine Complaint Follow-Up <br /> REPRESENTATIVES PRESENT <br /> Name )� Title _ Organization <br /> -Toh,1,. Tom ✓, ��60 s H_�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 from taking any administrative, civil or criminal action as a result of the violations noted. <br /> Enviro ental V6alth Specialist Received by Date <br /> 3/5/02 Pagel of <br />