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ENVIRONMENTAL HEALTH DEPARTMENT <br /> SAN JOAQUIN COUNTY UnitSupervhsors <br /> 7V -�G <br /> Z.:` '` :� --Donna K.Heran,R.E.H.S. Carl Borman,R.E-H.S. <br /> 304 East Weber Avenue, Third Floor tvlike lluggins,R.E.H.S.,R.D.I. <br /> Director Douglas W.Nilson,R.E.H.S. <br /> Al Olsen,R.E.H.S. Stockton, California 95202-2708 <br /> Program lVanager Telephone: (209) 468-3420 Margaret Lagorio,R.E.H.S. <br /> 4ti Foy`' Laurie A.Cotulla,R.E.H.S. Robert titcClellon,R.E.H.S. <br /> Fax: (209) 464-0138 Mark Barcellos,R.E.H.S. <br /> Pr-aram Manager <br /> UNIFIED PROGRAM HAZARDOUS WASTE INSPECTION REPORT <br /> Facility Name t- rct L I rr ) C <br /> Address NaV1 I w� <br /> t7) L) <br /> City { jL1 State C.Zip Code <br /> EPA I.D.Number <br /> () Industry Type_�� 67 <br /> �`ii r~JY� -? Title YC S "tfe Phone . !4� . �{ T() <br /> Facility Contact J �r <br /> [i Title <br /> Consent Given By ff <br /> Inspection Type (circle): Routine Complaint Follow-Up <br /> Date(s) <br /> Inspection <br /> REPRESENTATIVES PRESENT <br /> Title Organization <br /> Nme ;77C ( �f <br /> � rrCl r <br /> ia <br /> ort May identify conditions observed this day that are alleged to be violations of one °rrelatin sections tothe management 1nof <br /> This rep y completing the <br /> Health and Safety Cade (HSC) or the California Code of Regulations, Title 22 (22 CCR 9 <br /> hazardous waste. The violations may be described in more detail on the attached note sheets. After comp g <br /> ng the inspection,you may be informed of additional violations. <br /> evaluation of the information obtained duri <br /> the facilit is required to submit a signed Certification of Return to Compliance within 60 <br /> If any violations are noted Y <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(END)citing you for continuing/additional violations f the violations noted.uance of this Inspection Report does not preclude <br /> EHD from taking any administrative,civil or criminal action as a result <br /> Date <br /> Rece d by <br /> Anvlronm� <br /> ental Health Specialist , <br /> Page 1 of <br /> 315102 <br />