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t <br /> ENVIRONMENTAL 11EALTH DEPARTMENT <br /> Po4tySAN JOAQUIN COUNTY unitsupervisors <br /> 0-: <br /> C Carl Borgrnan,R.E.H.S. <br /> 1 <br /> Donna K.Heron,R.E.H.S. 304 East Weber Avenue,Third Floor Mike Huggins,R.E.H.S.,R.D.I. <br /> -2709 Douglas W.Wilson,R.E.H.S. <br /> Director r <br /> ton California 95202 Doug <br /> Stockton,Al Olsen,R E.11.S. Margaret Lagorio,R.E.H.S. <br /> Manager Telephone: (209)469-3420 <br /> Robert McClellon,R.E.H.S. <br /> PrigProgram <br /> Fax: (209) 464-0138 Mark Barcellos,R.E.H.S. <br /> i.F.0 Lauri, -Cot'lla'PLE.H.S. <br /> program Manager <br /> UNIFIED PROGRAM HAZARDOUS WASTE INSPECTION REPORT <br /> Facility Name 0 <br /> Address a\-kA-A <br /> City SOF State CA-Zip Code <br /> Industry Type n, ,tri " "�G � <br /> EPA I.D.Number <br /> Title- <br /> �--w--.Phone <br /> Facility Contact <br /> Consent Given By tcaTitle <br /> Inspection Date(s)-�� — <br /> Inspection Type (circle): �o:uDfine Complaint FOIIOW-UP <br /> *— � <br /> REPRESENTATIVES PRESENT <br /> Title organization <br /> Names arm <br /> -ons observed this day that are alleged to be violations of one or more sections of the caiifornl C <br /> This report may Identify conditions ons Title 22 (22 CCR) relating to the managernent <br /> Health and Safety Co.de (HSC) or the California Code of Regulations,�n the attached note sheets. After completing th <br /> hazardous waste. The violations may be described in.more detailinformed of additional violations. <br /> evaluation of the information obtained during the inspecrion,You maybe e within <br /> ed Certification of Return to compliaric <br /> If any violations are noted'the facility is required to submit a s <br /> ecified (A certification form is provided) Environmen <br /> days,unless otherwise sp provided may result in San joaquin County <br /> Failure to correct these violations within the scheduled period pr t preclu <br /> Health Department(EHD)citing you for continuing/additional violatioof the violations noted. <br /> ns. issuance of this inspection Report does no <br /> EHD from taking,any administrative,civil or criminal action as a result <br /> ecialist Recelvbd by <br /> Environmental Hea <br /> Page 4 of <br />