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ENVIRONMENTAL HEALTH DEPARTMENT <br /> PQ O'�ry_ C SAN JOAQUIN COUNTY Unit Supervisors <br /> Donna K.Heran,R.E.H.S. Carl Bergman,R.E.H.S., <br /> . .R.E.H.S. <br /> Q 304 East Weber Avenue, Third Floor Mike xnggms,R E H s.,R.D.I. <br /> m .� Director <br /> At Olsen,R.E.H.S. Stockton, California 95202-2708 Do„ala;N.Nilson R E.FI.S. <br /> Progrs i <br /> am Manager Telephone: (209) 468-3420 Margaret Lagoo,R.E.H.S. <br /> c .---. . Robert McClellon,R.E.FLS. <br /> giiF"on`' Laurie A.Cotulla,R.E.H.S. Fax: (209) 464-0138 <br /> Mark Barcellos,R.E.H.S. <br /> Program Manager <br /> UNIFIED PROGRAM HAZARDOUS WASTE INSPECTION REPORT <br /> Facility Name <br /> Address <br /> City %-C)Q\ <br /> State QA Zip Code <br /> EPA I.D.Number 0\-020 \,�ko�\S Industry Type <br /> Facility Contact CaA+R`t � '- Title ""Q+� wO' "' �Phone3lo5 <br /> Consent Given By Title <br /> - <br /> inspection Date(s) �� Inspection Type (circle): Complaint Follow-Up <br /> REPRESENTATIVES PRESENT <br /> Title Organization <br /> Name �5L� <br /> Wv - y <br /> C u16d/E�4 dFS �3($. ..�a4R�- �1�rlFy A+Qry� <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 c <br /> hazardous waste. The violations may be described in more detail on the attached note sheets. After completing th <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 6 <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 Environment <br /> Health Department (EHD) citing you for continuing/additional violations. Issuance of this Inspection Report does not precluc <br /> EHD from taking any administrative,civil or criminal action as a roult of the violations noted. <br /> Date <br /> it nm to Ith ialist Ree by <br /> ^ Page 1 of 3 <br /> 3/5/02 <br />