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ENVIRONMENTAL HEALTu DEPARTMENT <br />P°U'iN c <br />Donna K. Heran, R.E.H.S. <br />0: i\' :< <br />Director <br />— • <br />Al Olsen, R.E.H.S. <br />P <br />Program Manager <br />c��i'F�oRa� <br />Laurie A. Cotulla, R.E.H.S. <br />ger <br />Program 2vfanao <br />SAN JOAQiUIN COUNTY <br />304 East Weber Avenue, Third Floor <br />Stockton., California 95202-2708 <br />Telephone: (209) 468-3420 <br />Fax: (209) 464-0138 <br />Unit Supervisors <br />Carl Borgman, R.E.H.S. <br />Mike Huggins, R.E.H.S., R.D.I. <br />IDouglas W. Wilson, R.E.H.S, <br />Margaret Lagorio, R.E.H.S. <br />Robert McClellon, R.E.H.S. <br />Mark Barcellos, R.E.H.S. <br />UNIFIED PROGRAM HAZARDOUS WASTE INSPECTION REPORT <br />Facility Name 1 , <br />N�� N <br />Address <br />City <br />State CA Zip Code <br />�-'��� <br />Industry Type J&LL AC i i J <br />EPA 1.D.Number <br />�p y� r Title +�✓DrPhone <br />Facility Contact! <br />L4 <br />Title <br />wonsent Given By <br />Inspection Date(s)_t5_ " ti3 Inspection Type (circle): Eo <br />uti <br />REPRESENTATIVES PRESENT <br />Title <br />■i' <br />Complaint Follow -Up <br />Organization r� <br />ions of the <br />rnia <br />a identify conditions observed this day that are alleged. to be itle 22 (22violations f one or more CCR) relating totthe management t of <br />This report may fY completing the <br />Health and Safety Code (HSC} or the California Code of Regulations, <br />hazardous waste. The violations may be described tion, you detail e infoon rmed of additionalviolations.e attached note sheets. After comp <br />evaluation of the information obtained during the inspection, Y trance within 60 <br />Y <br />if an violations are noted, the facility is required to submit a sig) ed Certification of Return #o Comp <br />days, unless otherwise specified (A certification form p <br />roviante of this Inspection Report does not precludE <br />o correct these violations within the scheduled period pravidedss may resulk in San Joaquin County Environmen a <br />Failure # <br />Health Department (EHD) citing you for con#i minaaddion a violation <br />EHD from taking any administrative, civil or criminal action as a result of the vi ns noted. <br />07-D3 <br />5 <br />Date <br />Received by <br />Environmental Health Specialist <br />315102 <br />Page 1 of t, <br />