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ENVIRONMENTAL HEALTH DEPARTMENT <br /> °Y.'" SAN JOAQUIN COUNTY <br /> L hir supen isors <br /> -Donna K.Heran,R.E.H.S, Carl Bar_man R.E.H.S. <br /> pirecror 304 East Weber Avenue, Third Floor dike Hug_m R.E.H.S.,R.D.I. <br /> Al Olsen,R.E.H.S. Stockton, California 95202-2708 Dougl„ ikon,R.E.H S. <br /> P Progrmn Manager Telephone: (209) 468-3420 Marga,-; Laeorio.R.E.H.S. <br /> c \ <br /> I FopN Laurie A.Cotulla,R.E.H.S. Robert�feClellon.R.E.H.S. <br /> Pr A.Co ulmmger Fax: (209) 464-0138 Mark Barrellos.R.E.H.S. <br /> UNIFIED PROGRAM HAZARDOUS WASTE INSPECTION REPORT <br /> Facility Name <br /> AddressD <br /> City �� v—rte— State S�Zip Code <br /> EPA I.D.NumHv Industry Type D <br /> zarnTitle 0C� � Phone 67- 7yq7 <br /> Facility Contact // <br /> Title iRfa� <br /> Consent Given BUS <br /> /Ud/Utts � <br /> Inspection Date(s) iV A /11 Inspection Type (circle): ou Complaint Follow-Up <br /> REPRESENTATIVES PRESENT <br /> Name <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 Cade (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 continuingladditional 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 /> Date <br /> Environmental Health Specialist <br /> ei by <br /> Page 1'of <br /> 3/5/02 <br />