Laserfiche WebLink
ENVIRONMENTAL HEALTH D.EPARTMENT SAN JOAQUCOUNTY IN Unit Supervisors <br /> Pp U 1 N Carl Borgman,R.E.H.S. <br /> Third Floor <br /> Donna K.Reran,R.E.H•S 304 East Weber Avenue, Mike Huggins,R.E.H.S.,R.D.I. <br /> a:,r-� � Director California 95202-2708 Douglas N.Nilson,R.E.H.S. <br /> N:. Stockton, <br /> Al Olsen,R•E.H.S. Margaret Lagorio,R.E.H.S. <br /> Program Manager Telephone: (209) 468-3420 Robert McClellon,R.E.H.S. <br /> • C''tl• —c },`P <br /> Laurie A.Cotulla,RE•H•S• Fax: (209) 464-0138 Mark Barcellos,R.E.H.S. <br /> 9CIFbRc� <br /> Program Manager <br /> UNIFIED PROGRAM HAZARDOUS WASTE INSPECTION REPORT <br /> Facility Name S �- <br /> Address US <br /> State CA-Zip Code <br /> City <br /> IndustryType c�•.� 5 -c.�n� <br /> EPA I.D.Number _ _Phone <br /> ,��� <br /> Facility Contact - <br /> -Title <br /> Consent Given By <br /> Inspection Date(s) "�1^ <br /> ou ' Complaint Follow-UF <br /> Inspection Type (circle): <br /> REPRESENTATIVES PRESENT <br /> Organization <br /> Title <br /> NamehS � <br /> that are alleged to be violations of one or ore s ction of the <br /> g me <br /> identi conditions obs erved this day 22 CCR) relating letin! <br /> This report may Identify Title 22 <br /> Health and Safety Code (HSC) or the California Code of Regulations, <br /> • violations may be described in.more detail :onf the <br /> of additional violations.After comp <br /> hazardous waste. The vl the inspection,you maybe <br /> evaluation of the information obtained during P compliance Witt <br /> are noted,the facility is required to submit a signed Certification of Return to Comp <br /> if any violations p certification form is provided). <br /> days,unless otherwise specified( <br /> period provided may result in San Joaquin o° dEnvironr <br /> oes not pr <br /> Failure to correct thescontinuing/additional violations. Issuance of this Inspection Rep <br /> e violations within the scheduled P violations noted. <br /> Health Department i <br /> EHD)citing you for <br /> EHD from taking any administrative,civil or criminal action as a result of e <br /> � o•a <br /> ' Date <br /> aron a1 a pecialist <br /> Received by <br /> Page i of <br />