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ENVIRONMENTAL HEALTH DEPARTMENT <br /> QUID SAN JOAQUIN COUNTY <br /> p. c Unit Supervisors <br /> r` .'s•Z Donna K.Heran,R.E.H.S. Carl Borgman,R.E.H.S. <br /> 304 East Weber.Avenue, Third Floor <br /> U): Director Mike Huggins,R.E.H.S.,R.D.I. <br /> -'' AI Olsen,R.E.H.S. Stockton, California 95202-2708 Douglas W.Wilson,R.E.E.S. <br /> -. 9) 468-3420 Margaret Laaorio,R.E.H.S. <br /> Program Manager Telephone: (20 <br /> oa{ik 0- Laurie A.Cotulla,PUM.S. Robert McClellon,R.E.H.S. <br /> Program Manager Fax: (209} 464-0138 Mark Barcellos,R.E.H.S. <br /> UNIFIED PROGRAM HAZARDOUS WASTE INSPECTION REPORT <br /> Facility Name <br /> Address <br /> City I r,r)I _State CA-Zip Code <br /> EPA I.D.Number Industry Type <br /> Facility Contact Title_ Phone 2,a ~ — <br /> �,=r� � Title�,�5bci� <br /> Consent Given Bys- <br /> s U Inspection Type (circle): Rout' e Complaint Follow-Up <br /> Da <br /> Inspection ) <br /> REPRESENTATIVES PRESENT <br /> N me Title Organization <br /> i <br /> " Til.is�rir�•r r- <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 o��eRegulations, <br /> I onTitle 22 (22 CCR)the attached not relating <br /> s.tothe management of <br /> After completing the <br /> hazardous waste. The violations may be described inbe informed of additional violations. <br /> evaluation of the information obtained during the inspection,you may <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 tatting any administrative,civil or criminal action as a result of the violations noted. <br /> C. � 2 <br /> ecoivedby Date <br /> Environmental Health pecialist <br /> Page 1 of �. <br /> 315102 <br />