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ENVIRONMENTAL HEALTH[ DEPARTMENT <br /> SAN JOAQUIN COUNTY Unit Supervisors <br /> Carl Borgman,R.E.H.S. <br /> Donna K.Heran,R.£.H.S. 304 East Weber Avenue,Third Floor Mike Huggins,R.E.H.S.,R.D.I. <br /> `a2 <br /> Director <br /> Stockton, California 95202-2708 Douglas W.Wilson,R.E.H.S. <br /> - Al Olsen,R.E.A.S. Margaret Lagorio,R.E.H.S. <br /> Program lVanager Telephone: (209) 468-3420 Robert McClellon,R.E.H.S. <br /> Laurie A.Cotulla,RE.H.S. <br /> Fax: (209) 464-0138 Mark Barcellos,R.E.H.S. <br /> Ctp00.� <br /> Program bfanager <br /> UNIFIED PROGRAM HAZARDOUS WASTE INSPECTION REPORT <br /> Facility Name -k& v�-\-� <br /> Address <br /> t7 � <br /> city ����``' State CA Zip Code <br /> c _Industry Type PCO C <br /> EPA I.D.Number _ _ <br /> Facility Contact � Title o . <br /> A u�� Phone �j .` AO <br /> �,� I�,�flo. <br /> Consent Given By <br /> c SKS Title �-��• • — <br /> Inspection Date(s) <br /> o inspection Type (circle): outi Complaint Follow Up <br /> REPRESENTATIVES PRESENT <br /> Title Organization <br /> Name <br /> C�j,-•s19R- �i�" Pa( �16._U�I rvRsa) <br /> or the California Code of Regulations, Title 22 (22 relating to the management ( <br /> Health and Safety Cade (HSC) to be violations of CCR)one or more sections of the Californi <br /> This report may identify conditions observed this day that are alleged <br /> After completing th <br /> ll on the attached note <br /> hazardous waste. The violations may be described in.more detabe informed of additional violations <br /> evaluation of the information obtained during the inspection,you may <br /> of Return to Compliance within <br /> If any violations are noted,the facility is required to submit a signed Certification <br /> E <br /> days,unless otherwise specified(A certification form is provided). <br /> titin you for wntinuing/addition violations. Issuance of this I spection Report does not preclu <br /> Failure to correct these violations within the scheduled period provided may result in San Joaquin County Environmen <br /> Health Department(EHD) 9 Y <br /> EHD from taking any administrative,civil or criminal action d. <br /> s result of the violatio e <br /> i alth Specialist <br /> Received by <br /> Page 1 of <br /> �1�,102 <br />