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ENVIRONMENTAL HEALTH DEPARTMENT <br /> SAN JOAQUIN COUNTY <br /> ? � � Unit Supervisors <br /> Donna K.Heran,R.E.H.S <br /> 304 East Weber Avenue, Third Floor earl BonR.E.H.S. <br /> Director Mike Huggins,s,R.E.H.S..R.D.I. <br /> Al 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.1 I.S. <br /> Laurie A.Corolla,R.E.H.S. <br /> Robert c <br /> Program Manager Fax: (209) 464-0138 Mark Barcellos,R.E.H.S. <br /> rr�� <br /> UNIFIED PROGRAM HAZARDOUS WASTE INSPECTION REPORT <br /> FacilityName & V A ( Q- XTN� <br /> Address 5 ,5s- -t' ju��rf Kl, PA-r-l� <br /> City �A A"°J �t L C�- / Industry YPQ <br /> State � Zip Code ""'? S 3 3 -�7 <br /> EPA I.D.Number <br /> Cr< 0 1 % 3 &�5 v3 D T e ko� u <br /> Facility Contact R i JA A-t 1� LO LTitle• SC • TPS • MA1nl ,,P�_� Phone Zje ' �6 3 1 <br /> Consent Given By K° L k4 r R Title S< < T��' AAA <br /> " <br /> Inspection Date(s) 24 2 Inspection Type (circle): Routine Complaint Follow-Up <br /> REPRESENTATIVES PRESENT <br /> Name Title Organization <br /> RAM von V 12E1�S SSC L-1AD <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 perio rovided may result in San Joaquin County Environmental <br /> Health Department(EHD)citing you for continuing/additional iol tions. Issuance o Inspection Report does not preclude <br /> EHD from taking any administrative,civil or criminal action a are ul of the violati s n ted. <br /> Environmental Health Specialist Received by Date <br /> 3/5/02 Page 1 of <br />