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ENVIRONMENTAL HEALTH DEPARTMENT <br /> SAN JOAQUIN COUNTY <br /> rJ°/11t Sd!(lE'1'V15O1'S <br /> RHeran,R.E.H.S.a <br /> Donna K. tI <br /> 304 East Weber Avenue, Third Floor cart�3org,nan,R.E.H.S. <br /> N f :< Director Mike Huggins,R.E.H.S.,R.D.I. <br /> EA, ` Al Olsen,R.E.H.S. Stockton, California 95202-270$ <br /> Douglas W.Wilson,R.E.H.S. <br /> • r:. �P Program lwannger" Telephone. (209) 46$-3420 Margaret Lagorio,R.E.H.S. <br /> gLi'9b`R Laurie A.Cotulla,R.E.H.S. Robert McClellon,R.E.H.S. <br /> Program Manager Fax: (209) 464-013$ <br /> Mark$arcellas,R.E.H.S. <br /> UNIFIED PROGRAM HAZARDOUS WASTE INSPECTION REPORT <br /> Facility Name <br /> Address <br /> City LtoAl State_QL Zip Code_9S7 10 <br /> EPA I.D.Number �`�oto© ` Industry TypLIi�q <br /> Facility Contact MCO i(26- Title 26 M ,a:Q Phone <br /> Consent Given By Title <br /> Inspection Date(s) Inspection Type (circle). outine Complaint Follow-Up <br /> REPRESENTATIVES PRESENT <br /> Name Title Organization <br /> ? Pa A �e�,,�—`1Z�S ti <br /> av <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(EMD) 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 /> 2� <br /> Invir nme tal Healt Speciist Received by Date <br /> 315102 Page 'l of rJ <br />