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ENVIRONMENTAL HEALTH DEPARTMENT <br /> �"�" SAN JOAQUIN COUNTY Unit Supervisors <br /> >';oG Carl Borgman,R.E.H.S. <br /> Donna K.Heran,R.E.xs. 304 East`Veber Avenue,Third Floor <br /> Mike Huggins,R.E.H.S.,R.D.I. <br /> Director Douglas W.Wilson,R.E.H.S. <br /> Al Olsen,R.E.H.S. Stockton, California 95202-270 <br /> P• Program Manager (209)468-3420 Margaret Lagorio,R.E.H.S. <br /> Telephone: <br /> • �•.; ,�:e Robert McClellon,R.E.H.S. <br /> 4��FORa Laurie A.Cotulla,R.E.H.S. Fax: 209 464-0138 <br /> ( ) Mark Barcellos,R.E.H.S. <br /> Program Manager <br /> UNIFIED PROGRAM HAZARDOUS WASTE INSPECTION REPORT <br /> Facility Name <br /> Address S ' F 1 L)C71YM[_C) 2,c Lp <br /> f,�� <br /> City State OA Zip Code q <br /> Industry YP T e A-�O Tf_",ctL- 42a" y <br /> EPA I.D.Number IL .002 i � �'� �� ��`i-1,1333 <br /> V\L Phone <br /> Facility Contact N ick- Title' <br /> �W <br /> Consent Given By <br /> -z� -a3 inspection Type (circle): outine Complaint Follow-Up <br /> Inspection Date(s) <br /> REPRESENTATIVES PRESENT <br /> Title Organization <br /> Name STC F RD <br /> �L)f r c, �Gl` -e--v n �n Ti'r e °--TCSy�! <br /> Nick IAAF <br /> J <br /> Title 22 22 CCR) relating to the management o <br /> This report may identify conditions observed this day that are alleged to be violations of one or more sections of the Caiiforni E <br /> Th p Y completing th <br /> Health and Safety Code (HSC) or the California Code of Regulate <br /> detail on the attached note she ts. <br /> hazardous waste. The violations may be described in.more <br /> You maybe informed of additional violations, <br /> After comp <br /> evaluation of the information obtained during the inspection,Y <br /> If any violations are noted,the facility is required to submit a signed Certification of Return to Compliance within 61 <br /> days,unless otherwise specified(A certification form is provided). County Environment <br /> it in San <br /> Failure to correct these violations within the scheduled <br /> itioPallviolationselssuance of this nspectiognuReportdges not p <br /> reclu� <br /> may resu <br /> Health Department(EHD)citing you for continuing/ad <br /> EHD from taking any administrative,civil or criminal action as a result of the violations noted. <br /> Received by Date <br /> Environmental Health Specialist <br /> Page 1 of �P. <br /> 3/5!02 <br />