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0 0 <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> SAN JOAQUIN COUNTY <br /> �.• ,r� •.o� LFnitSupervisors <br /> Donna K.Heran,R.E.H.S. Carl Boraman,R.E.H.S. <br /> Q. 304 East Weber Avenue, Third Floor <br /> Director Mike Huggins, R.E.H.S.,R.D.I. <br /> Al Olsen,R.E.H.S. Stockton, California 95202-270$ <br /> Douglas W. Nilson,R.E.H.S. <br /> • ��P Program Manager Telephone: (209) 468-3420 Margaret Laggorio,R.E.H.S. <br /> +FOR Laurie A.Cotulla,R.E.H.S. Robert McClellon,R.E.H.S. <br /> Program Manager Fax: {209) 464-0138 <br /> Mark Barcellos, R.E.H.S. <br /> UNIFIED PROGRAM HAZARDOUS WASTE INSPECTION REPORT <br /> Facility Name &o <br /> Add ressZ'd-n )e <br /> City . 4i State OA Zip Code <br /> EPA I.D.NumberC�& nb©-b cA- g21'� Industry Type <br /> Facility Contact tfr� Title- dAz Phone <br /> Consent Given By Title `1, <br /> Inspection Date(s) 0 Inspection Type (circle): outin Complaint Follow-Up <br /> REPRESENTATIVES PRESENT <br /> ame Title Organization <br /> � cs <br /> • !- <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 continuingladditional violations. Issuance of this Inspection Report does not preclude <br /> EHD from taking any administrative, civil or criminal action as a result of the violations noted. <br /> nvironmenta Health Specialist Received by Da e <br /> 315102 Page 1 of <br />