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Facility Name 1+ <br />Address �J v <br />State CA Zip Cede cl �J 2 D 5 <br />City <br />EPA I.D.Number flLj � l Industry Type <br />Facility Contact <br />VI i"Yl�� TitleTitle -Phone—LVI. t••�Iata _ t7�(szlo <br />Consent Given By <br />s Inspection Toutine <br />Type (circle): Complaint Follow -Up <br />Inspection date( ) <br />REPRESENTATIVES PRESENT <br />Name <br />Title Organization <br />+� <br />This report may rnia <br />identify conditions observed this day that are alleged to be violations 2fCCR°rrelating tore tlthe managemons of the ent t of <br />Health and Safety Code (HSC) or the California Code of Regulations, Title 22 ( ) <br />hazardous waste. The violations may be described in more <br />matabeonforrned of additionched al violations After completing the <br />evaluation of the information obtained during the inspection, you y <br />If any violations are noted, the facility is required to submit asigned Certification of Return to compliance within 60 <br />d <br />days, unless otherwise specified (A certification form is provided). <br />Failure to correct these violations within the scheduled period provided may <br />result in San Joaquin County Environmental <br />Health Department {EHD) citing you for continuingladditional violatios. the violce of this In pe <br />ction Report does not preclude <br />EHD from taking any administrative, civil or criminal action as a result <br />r <br />Environmental Health Specialist <br />315102 <br />r� f <br />S- 3- <br />ived by Date <br />Page 1 of <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />SAN JOAQUIN COUNTY U1, itSupemsors <br />>p'Y—a�m'�G <br />Donna K. Reran, R.E.H.S. Carl Borgman, R.E.H.S. <br />304 East 'Veber Avenue, Tl61rCl Floor Mike Huggins, R.E.H.S.. R.D.I. <br />` <br />y l �5'• <br />Director <br />Al Olsen, R.E.H.S. StOG�CtOil, Califor g5=� -270 Douglas W. ��"iron, R.F..FLS. <br />Ntar`arct Lagorio, R.E.H.S. <br />Program Manager Telephone: (209) 468-3420 Robert McCiellon, R.E.H.S. <br />az1i�o'R`' <br />Laurie A. Cotuila, R.E.H.S. <br />Fax: (209) 464-0138 Mark Barcellos, R.E.H.S. <br />Program Manager <br />HAZARDOUS WASTE INSPECTION REPORT <br />UNIFIED PROGRAM <br />Facility Name 1+ <br />Address �J v <br />State CA Zip Cede cl �J 2 D 5 <br />City <br />EPA I.D.Number flLj � l Industry Type <br />Facility Contact <br />VI i"Yl�� TitleTitle -Phone—LVI. t••�Iata _ t7�(szlo <br />Consent Given By <br />s Inspection Toutine <br />Type (circle): Complaint Follow -Up <br />Inspection date( ) <br />REPRESENTATIVES PRESENT <br />Name <br />Title Organization <br />+� <br />This report may rnia <br />identify conditions observed this day that are alleged to be violations 2fCCR°rrelating tore tlthe managemons of the ent t of <br />Health and Safety Code (HSC) or the California Code of Regulations, Title 22 ( ) <br />hazardous waste. The violations may be described in more <br />matabeonforrned of additionched al violations After completing the <br />evaluation of the information obtained during the inspection, you y <br />If any violations are noted, the facility is required to submit asigned Certification of Return to compliance within 60 <br />d <br />days, unless otherwise specified (A certification form is provided). <br />Failure to correct these violations within the scheduled period provided may <br />result in San Joaquin County Environmental <br />Health Department {EHD) citing you for continuingladditional violatios. the violce of this In pe <br />ction Report does not preclude <br />EHD from taking any administrative, civil or criminal action as a result <br />r <br />Environmental Health Specialist <br />315102 <br />r� f <br />S- 3- <br />ived by Date <br />Page 1 of <br />