Laserfiche WebLink
ENVIRONMENTAL HEALTH DEPARTMENT <br /> SAN JOAQUIN COUNTY Unit Supervisors <br /> o u i N Carl Borgman,R.E.H.S. <br /> oP,......,,c <br /> R.E.H.S. Mike Huggins,R.E.H.S.,R.D.I. <br /> gonna K.Reran, 304 East Weber Avenue, Third Floor_ Douglas W.Wilson,R.E.H.S. <br /> Q. Director gtockton, California 95202-2708 <br /> .E.H.S. Margaret Lagono,R.E.H.S. <br /> AlAI Olsen, Telephone: (209) 468-3420 <br /> Program Manager Robert McClellan,R.E.H.S. <br /> , Cqc%'pOR�` Laurie A.Cotulla,R.E.H.S. Fax: (209) 464-0138 Mark Barcellos,R.E.H.S.' <br /> Program Manager <br /> UNIFIED PROGRAM HAZARDOUS WASTE INSPECTION REPORT <br /> Facility Name <br /> Address <br /> �A� <br /> State CI Zip Code <br /> -City <br /> Industry Type <br /> EPA I.D.Number <br /> �� Phone <br /> Facility Contact <br /> .•.��a o- E' Title <br /> Consent Given By <br /> I Inspection Type (circle): ouf Complaint Follow-Up <br /> Inspection Dates) \`„ <br /> REPRESENTATIVES PRESENT <br /> Title Organization <br /> Name <br /> ort may identify conditions <br /> o <br /> Health end Safety Code (HSC) o�bhe Californ aaCodet ofeRelgulaUons, Title 22 (22fCCR) relating totithe managementnof <br /> on the attached note sheets.evaluation of anthazardous e. The violatiosobtained y be <br /> the inspection,you maybe cribed in more detail informed of additional violations,After completing the <br /> ion <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 <br /> Joaq <br /> in County Environmental <br /> d provided may result in S <br /> Failure to correct theseciting you for'continuing addi onal erl�violations. is uance of th s nspect Inspection does not preclude <br /> Health Department (EHD) g 9 Y <br /> EHD from taking any administrative,civil or criminal action as a ult of the vi tions note . <br /> E ron e I th Specialist <br /> Received Date <br /> Page 1 of S <br /> 3/5/02 <br />