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ENVIRONMENTAL HEALTH DEPARTMENT <br /> PpUiN.0 SAN JOAQUIN COUNTY Unit Supervisors <br /> Carl Borgman,R.E.H.S. <br /> Donna K. iced, R.E.H.S. 304 East Weber Avenue, Third Flo708 Mike Huggins,R.E.H.S.,R.D.I. <br /> yr < Director <br /> " Stockton, California 95202-2708 Douglas W.Nilson,R.E.H.S. <br /> a : <br /> At Olsen,R.E.H.S. Margaret Lagorio,R.E.H.S. <br /> 'P • <br /> Program Mmmge+' Telephone: (209) 468-3420 Robert McClellon,R.E.H.S. <br /> c4Ci Fdar'� Laurie A.Corolla,R.E.H.S. Fax: (209) 464-0138 Mark Barcellos,R.E.H.S. <br /> Program Manage" <br /> UNIFIED PROGRAM HAZARDOUS WASTE MISPECTION REPORT <br /> Facility Name <br /> Address <br /> City aa-p State CA Zip Code N <br /> , <br /> wr,rar�x\�t�CG� IndustryType <br /> EPA LD.NumberC <br /> one <br /> Facility Contact 49 \"�" Title <br /> "S <br /> TitlePh <br /> Consent Given By �� <br /> �t <br /> Inspection Date(s) a Inspection Type (circle): Routine Complaint Follow-Up <br /> REPRESENTATIVES PRESENT <br /> Title Organization <br /> Name ��� + — <br /> ,���•� c`erc12.'�1►C. �� �S — S<P� �Jv.D\�G• s"6'C�r` — <br /> _�s.�r1Q.� <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 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 /> a alth Specialist <br /> Receive by <br /> i e Dat <br /> Page 1 of <br /> 3/5/02 <br />