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u <br />ENVIRONMENTAL <br />SAN JOAQUIN COUNTY <br />304 East Weber Avenue, Third Floor <br />Stockton, California 95202-2708 <br />Telephone: (209) 468-3420 <br />Fax: (209) 464-0138 <br />HEALTH DEPARTMENT <br />Facility Name <br />Donna K. Heran, R.E.H.S. <br />Director <br />At Olsen, R.E.H.S. <br />Program Jvfanager <br />Laurie A. Cotulla, R.E.H.S. <br />Program hfamager <br />Unit Supervisors <br />Carl Borgman, R.E.H.S. <br />Mike Huggins, R.E.H.S., R.D.I. <br />Douglas N. Nilson, R.E.H.S. <br />%1,garet Lagorio, R.E.H.S. <br />Robert McClellon, R.E.H.S. <br />Mark Barcellos, R.E.H.S. <br />UNIFIED PROGRAM HAZARDOUS WASTE INSPECTION REPORT <br />Addres <br />State CA Zip Code <br />City <br />�.,.� <br />EPA I.D.Number �� Z 3 � 7 3$ 6 Industry Type�� <br />,An �= Phone_q7 <br />Facility Contact Nn�Aj 1�(>)1P�i'�Title: OG� ' J <br />t Title 1 <br />Consent Given By <br />Inspection Date(s)R_ra/3 Inspection Type (circle): outi Complaint Follow -Up <br />REPRESENTATIVES PRESENT <br />Title Organization <br />Name �hK S`7G F� <br />1Sah <br />Thie violations <br />one <br />of the <br />ons <br />ia <br />Heas reort may identify conditions oserved thislth and Safety Code (HSC) or the CaliforniaaCodet ofeRelgulattiionns Title 22 (22fCCR) more <br />relating totlthe managementnof <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 />an Joaqin County Environmental <br />Failure to correct thesemay result in S <br />od <br />ded <br />Health Department (EHD)Ions citinlg you fotrlcontinu g/additionalthe schedulely olationls. issuance of th s In ctionuReport does not preclude <br />EHD from taking any administrative, civil or criminal action as a result of the violations noted. / <br />!�Z / <br />Eg ronmental 1; th Specialist <br />Received by Date <br />Pagel of S <br />3/5/02 <br />