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ENVIRONMENTAL HEALTH DEPARTMENT <br /> SAN JOAQUIN COUNTY <br /> Unit Supervisors <br /> Q, ? Donna K.Heran,R.E.H.S. Carl Bonnnan, R.E.H.S. <br /> oire�m, 304 East Weber Avenue, Third Floor <br /> Mike f lueeins, R.E.H.S.,R.D.I. <br /> —:• At open,R.E.H.S. Stockton, California 9520_�-2708 Douglas W. Wilson,R.F..n_S. <br /> Program Manager Telephone: (209) 468-3420 Man aiet Lagorio,R.E.il.S. <br /> tcbe`' Laurie A.Cotulla,R.E.H.S. p <br /> McClellan,R.E.H.S. <br /> Progam Manager Fax: (209) 464-013$ Mark arce/los,R.E.H.S. <br /> UNIFIED PROGRAM HAZARDOUS WASTE INSPECTION REPORT <br /> Facility Name <br /> Address c1 Z3 � AQ <br /> City g: State CA. Zip Code ", z 1 <br /> EPA I.D.Number CAL 060 U 9 < <� Industry Type /q kaA& ,_� <br /> Facility Contact t)" Title Phone q I—Z (8? <br /> Consent Given By `/�, Q^-^= Title <br /> Inspection Date(s) v l C—Dq Inspection Type (circle): Ro ine Complaint Follow-Up <br /> REPRESENTATIVES PRESENT <br /> Title Organization <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 /> /V AJAd6L <br /> D� <br /> En ironmen al Health Specialist Re ve Dat <br /> 3/5/02 Page 1 of <br />