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C: <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> SAN JOAQUIN COUNTY <br /> Unit Supervisors <br /> e, '? Donna K.Heran,R.E.H.S. Carl Bergman,R.E.H.S. <br /> - 304 East Weber Avenue, Third Floor g <br /> Director Mike Huggins,R.E.H.S.,R.D.I. <br /> At Olsen,R.E.H.S. Stockton, California 95202-2708 Douglas W.Wilson,R.E.H.S. <br /> Program Manager Telephone: (209) 468-3420 Margaret Lagorio,R.E.H.S. <br /> y iFORN <br /> Laurie <br /> ogCo ManR.E.H.S. Fax: (209) 46)4-0138 Robert McClellon,R.E.H.S <br /> Program Manager Mark Barcellos,R.E.H.S. <br /> UNIFIED PROGRAM HAZARDOUS WASTE INSPECTION REPORT <br /> Facility NameK� is <br /> Addres <br /> City i� State rA Zip Code CIS <br /> EPA I.D.Number� IndustryType <br /> JY <br /> Facility Contact ��L,���S Title hR- 5 44C Phon ZSR �� <br /> Consent Given By " Title <br /> Inspection Dates) Inspection Type (circle): outin Complaint Follow-Up <br /> REPRESENTATIVES PRESENT <br /> N me 1 Title Organization <br /> _eafre- <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 actioje <br /> a result t e iolations noted. <br /> �<��') C �! - 1 6 <br /> Environmental Health Specialist ceived by DAte <br /> 3/5/02 Page 1 of <br />