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Facility Name <br />Address 4�, Qom'_) - <br />City 25�03ecyv- State CA_ Zip Code <br />EPA I.D.Number \N-. � Industry Type \�P�JhOW <br />Facility Contact y_yc C-Q_XKVF\\ Title: _ Phone 0M%-U-i:xA <br />Consent Given By -����� _Title <br />Inspection Dates) ''����� Inspection Type (circle): <br />Name <br />REPRESENTATIVES PRESENT <br />Title <br />o - <br />Routine Complaint Follow -Up <br />Organization <br />t\�S> <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 n San Joaquin County Environmental <br />Health Department (EHD) citing you for continuing/additional violatiqns. Issuance is Inspection Report does not preclude <br />EHD from taking any administrative, civil or criminal actio 4 of the violati n/9ted. <br />by Date <br />3/5/02 4 Page 1 of '5 . <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />SAN JOAQUIN COUNTY <br />L. 2 <br />Q. i�\ i .,,., <br />Unit Supervisors <br />Donna K. Heran, R.E.H.S. Carl Bor an, R.E.H.S. <br />304 East Weber Avenue, Third Floor <br />Director <br />AI Olsen, R.E.H.S. Stockton, California 95202-2708 Mike Huggins, R.E.H.S., R.D.I.Douglas W. Wilson, R.E.H.S. <br />C9��FOR �`PProgram <br />Manager Telephone: (209)468-3420 Margaret Lagorio, R.E.H.S. <br />Laurie A. Cotulla, R.E.H.S. Fax: (209) 464-0138 Robert McClellon, R.E.H.S. <br />Program Manager Mark Barcellos, R.E.H.S. <br />UNIFIED PROGRAM HAZARDOUS WASTE INSPECTION REPORT <br />Facility Name <br />Address 4�, Qom'_) - <br />City 25�03ecyv- State CA_ Zip Code <br />EPA I.D.Number \N-. � Industry Type \�P�JhOW <br />Facility Contact y_yc C-Q_XKVF\\ Title: _ Phone 0M%-U-i:xA <br />Consent Given By -����� _Title <br />Inspection Dates) ''����� Inspection Type (circle): <br />Name <br />REPRESENTATIVES PRESENT <br />Title <br />o - <br />Routine Complaint Follow -Up <br />Organization <br />t\�S> <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 n San Joaquin County Environmental <br />Health Department (EHD) citing you for continuing/additional violatiqns. Issuance is Inspection Report does not preclude <br />EHD from taking any administrative, civil or criminal actio 4 of the violati n/9ted. <br />by Date <br />3/5/02 4 Page 1 of '5 . <br />