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a M1 <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> CISAN JOAQUIN COUNTY <br /> Unit Supervisors <br /> Donna K.Heran,R.E.H.S. <br /> 304 East Weber Avenue, Third Floor Carl Borgman,R.E.H.S. <br /> h Director Mike Huggins,R.E.H.S.,R.D.[. <br /> • Al Olsen,R.E.H.S. Stockton, California 95202-2708 <br /> Douglas W. Wilson, R.E.['[.5. <br /> e4�roR�`P Program Manager Telephone: (209) 468-3420 Margaret Lagorio,R.E.H.S. <br /> f <br /> Laurie A.Cotulla,R.E.H.S. Robert McClellon,R.E.H.S. <br /> Program Manager Fax: (209) 4174-0138 Mark Barcellos,R.E.H.S. <br /> UNIFIED PROGRAM HAZARDOUS WASTE INSPECTION REPORT <br /> Facility Name Pre' � Fj ')�k <br /> Address -I!I ( 0 U0n4�L 51 <br /> City ' U�' �1 State -CL Zip Code 10 <br /> EPA I.D.Number 'C'E'LL- ooh Industry Type FcjlApr (of 11 , c� V��,� <br /> 1 A� W Title- Phone Z 5758 <br /> Facility Contact C � <br /> Consent Given By -Title_ /'�'� <br /> Inspection Date(s) Inspection Type (circle): Routine Complaint Follow-Up <br /> REPRESENTATIVES PRESENT <br /> Name Title Organization <br /> tAagy `r <br /> ca V a � G <br /> C r o_t_, n I,. u <br /> CfA'r E �f` �r �-ar Finf`�j(n �^1 <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 period provided may result in San Joaquin County Environmental <br /> Health Department (EHD) citing you for continuing/additional violations. Issuance of this Inspection Report does not preclude <br /> EHD from taking any administrative, civil or criminal action as a re It of the viola ns noted. <br /> 3 C Z <br /> Environmental Health Specialist Recei ed by Date <br /> 315102 Page 1 of <br />