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ENVIRONMENTAL HEALTH DEPARTMENT <br /> � ' SAN JOAQUIN COUNTY Unit Supervisors <br /> s. '9� Carl Borgman,R.E.H.S. <br /> Donna K.xeran,R.E.H.S. 304 East Weber Avenue, Third Floor Mike Huggins,R.E.H.S.,R.D.I. <br /> " < Director <br /> 5202 2708 Douglas W.Nilson,R.E.H.S. <br /> At Olsen,R.E.H.S. Stockton, California 9 <br /> P. Telephone: (209) 468-3420 Margaret Lagorio,R.E.H.S. <br /> Program Manager <br /> • r ., . . Robert McClellon,R.E.H.S. <br /> 9cicoa? Laurie A.Corolla,R.E.H.S. Fax: (209) 464-0138 <br /> Durk Barcellos,R.E.H.S. <br /> Program Manager <br /> UNIFIED PROGRAM HAZARDOUS WASTE INSPECTION REPORT <br /> Facility Name YD D � 1 <br /> Address <br /> tu_n _State CA Zip Code <br /> City q5 zo f� <br /> EPA I.D.Number t'tv-,DD DD t(4 �13 3 Industry Type &l*k�2pv <br /> TyY ^._.�"D_-� A 5ra¢a' Phone Ljo� <br /> Facility Contactl VA Lo C'=Title --_ V <br /> Consent Given By <br /> �t Title It <br /> Inspection Date(s)��'« "by Inspection Type (circle): Routine Complaint Follow-Up <br /> REPRESENTATIVES PRESENT <br /> Title Organization <br /> Name _�,� 1-r <br /> �Il�� n nl �pseir <br /> uYeRS-in Vin r Com• — <br /> sec <br /> ons <br /> are <br /> to be violations <br /> one or more <br /> of the California <br /> Health Ts end Safety Code (HSC) or the California ort may identify conditions observed this aCode of Regulations t <br /> ons, Title 22 (22 CCR) relating t tithe 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 /> may result in San <br /> in County Environmental <br /> Failure to Health Department(EHD)ese violations <br /> g you forwithin <br /> continu ng/addi onall�olations elss ante of th s nspec onuReport does not preclude <br /> EHD from taking any administrative,civil or criminal action as a result of violati ns noted. <br /> a Date <br /> nvironmental ealth Specialis�— <br /> eceived by <br /> Pagel of <br /> 3/5/02 <br />