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ENVIRONMENTAL HEALTH DEPARTMENT <br /> SAN JOAQUIN COUNTY <br /> �..i�F...o Unit Supervisors <br /> Donna K.Heran,R.E.H.S. Carl Borgman,R.E.H.S. <br /> h j Director 304 East Weber Avenue, Third Floor Mike Huggins,R.E.H.S..R.D.I. <br /> At Olsen,R.E.H.S. Stockton, California 95202-2708 Douglas W.Nilson,R.E.H.S. <br /> • �.', Program NfanagerTelephone: (2 09) 468-3420 Margaret Lagorio,R.E.H.S. <br /> 4��FOR� Laurie A.Cotulla,R.E.H.S. Robert McClellon,R.E.H.S. <br /> Program Manager Fax: (209) 464-0138 Mark Bareellos,R.E.H.S. <br /> UNIFIED PROGRAM HAZARDOUS WASTE INSPECTION REPORT <br /> Facility Name <br /> Address jy' i Nle�l <br /> City <br /> S��k' � State Zip Code <br /> EPA I.D.Number C �9 ��� U ` Industry Type ti� <br /> Facility Contact �� �' '� Title ��t��e� �%' � "1 � Phone <br /> Consent Given By Title <br /> Inspection Date(s) ICS 6 Gld Inspection Type (circle): Routine Complaint Follow-Up <br /> REPRESENTATIVES PRESENT <br /> Title Orgapization <br /> Name <br /> 11 M 1A6— <br /> l\� i� Ari c� i <br /> c <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 /> Environml Hea h Specialist <br /> R eived by Date <br /> enta <br /> Page 1 of <br /> 3/5/02 <br />