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! 0 <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> SAN JOAQUIN COUNTY <br /> UnitS'ttpersrsors <br /> Donna K.Heran,R.E.H,S. Carl Borgman R.E.H.S. <br /> �i. <br /> Director <br /> 304 Weber Avenue, Third Floor Mike Huggins,R.E.H.S.,R.D.I. <br /> Al Olsen,R.E.H.S. Stockton, California 95202-2708 Douglas W.Wilson,R.E.H.S. <br /> c4• �.•;c Program Manager Telephone: (209) 468-3420 Margaret Lagorio,R.E.H.S. <br /> Laurie A.Cotulla,R.E.H.S. Robert McClellon,R.'E.H S. <br /> Program Manager Fax: (209) 464-0138 <br /> Mark$arcellos,R.E.H.S. <br /> UNIFIED PROGRAM HAZARDOUS WASTE INSPECTION REPORT <br /> Facility Name 2-R-4- QQS0 qS_ <br /> Address \ARS <br /> City ' s State CL Zip Code c\': i�, 417.)- <br /> EPA I.D.Number �- '`��-�"��` �' Industry Type <br /> Facility Contact ~- `�� `� Title' `RPhone '1-\OA\ <br /> Consent Given By Title <br /> Inspection Date(s) Inspection Type (circle): 6u�tine) Complaint Follow-Up <br /> REPRESENTATIVES PRESENT <br /> Name Title Organization <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 continuing/additional 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 /> En ' on en H It Specialist ei d by Date <br /> Page 1 of <br /> 315!02 <br />