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V <br />• <br />ENVIRONMENTAL HEALTH EP <br />Donna K. Heran, R.E.H.S. <br />Direclor <br />Al Olsen, R.E.H.S. <br />Program Manage, <br />Laurie A. Cotulla, R.E.H.S. <br />Program Manage" <br />SAINT JOAQUIN COUN 11 Y <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 Bergman, R.E.H.S. <br />Mike Huggins, R. E.H.S., R.D.I. <br />Douglas N. Nilson, R.E.H.S. <br />Margaret Lagorio, R.E.I I.S. <br />Robert McClellon, R.L'.H.S. <br />Mark Barcellos, RE ".& <br />UNIFIED PROGRAM HAZARDOUS WASTE INSPECTION REPORT <br />Facility Name <br />Address 33 A"1) <br />State CA Zip Code 95 <br />City �-�,rt%r��•� <br />Industry Type <br />EPA I.D.Number� ` <br />_ <br />Facility Contact <br />1' - - =� �� l r e Title'^(hone 707 Z <br />Consent Given By <br />k) Title <br />Inspection Type (circle): R§ ne omplaint Follow -Up <br />Inspection Date(s)A/ <br />REPRESENTATIVES PRESENT <br />o� <br />Name <br />--r_ I ,. , Sort <br />Ke.,�l P; <br />Title <br />ENS <br />Organization <br />5TG EOE <br />fl, 14<d6 -e.! <br />to be violations <br />This report may identify condition oobhe Californ aaC de of Regulaare tions, fsections <br />ons, Title 22 (22 CCR) relating to the management of <br />Health and Safety Code (HSC) <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 />in County <br />ironmental <br />Failure to correct these violationsyou for continuing/additional Iod provided <br />v olations. Issuance of this nsp ct Inspection does not preclude <br />Health Department (EHD) citing y <br />EHD from taking any administrative, civil or criminal action as a result of the violations noted. <br />vironmenta alth Specialist <br />3/5/02 <br />Received by Date <br />Page 1 of.. 6- <br />