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i • <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> SAN JOA{�UIN COUNTY <br /> . oG Unit Super—visors <br /> !— ? K.Reran,R.E.H.S. Carl Borgtnan,R.E.H.S. <br /> Donna <br /> 304 East Weber Avenue, Third Floor <br /> i Director. Mike Huggins,R.E.H.S.,R.D.I. <br /> fel Olsen,R.E.H.S. StOC�ton, California ornia 9 32g2-270g Douglas W.Wilson,R.E.H.S. <br /> Program Manager Telephone: (209) 468-3420 Margaret Lagorio,R.E.H.S. <br /> c4�i'9 6W4\ Laurie A.Cotulia,R.'E.H.S. Robert McClellon,R.E.H.S. <br /> Program Manager Mark(209) 464-0138 Mark Barcellos,R.E.H.S. <br /> UNIFIED PROGRAM HAZARDOUS WASTE INSPECTION REPORT <br /> Facility Name L14 .. <br /> Add ress <br /> __JCJ<�q ljt4� " - <br /> City State CL Zip Code <br /> s <br /> EPA I.D.Number Industry Type <br /> Facility Contact�.L <br /> Title. Phone <br /> Consent Given By � '�-- Title <br /> Inspection Dates) p <br /> �l Inspection Type (circle): utine Complaint Follow-Up <br /> REPRESENTATIVES PRESENT <br /> Na Title Qrganiz 'o <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 continuingladditional 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 /> Received by Date <br /> Environmenta a pecialist <br /> Page 1 of <br /> 3!5102 <br />