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ENVIRONMENTAL HEALTH DEPARTMENT <br /> SAN JOAQUIN COUNTY <br /> Donna K.Heran,R.E.H.S. Unit Supervisors <br /> �• 304 East Weber Avenue, Third Floor <br /> Director Carl Borgman,R.E.H.S, <br /> r { <br /> Mike Huggins,R.E.H.S.,R.D.I. <br /> Al Olsen,R.E.H.S. Stockton, California 95202-2708 Douglas W. Wilson,R.E.H.S. <br /> cq.. P Program Manager Telephone: (209) 468-3420 Margaret Lagorio,R.E.H.S. <br /> F o a Laurie A.Cotulla,R.E.H.S. <br /> Program Manager Fax: (209) 464-0138 Robert McClellon,R.E.H.S. <br /> g g Mark Barcellos,R.E.H.S. <br /> UNIFIED PROGRAM HAZARDOUS WASTE INSPECTION REPORT <br /> Facility Name �1�� <br /> �© <br /> Address <br /> City � � State CA Zip Code <br /> EPA I.D.Number,21000 (9-bb3S_ Industry Type <br /> Facility Contact �n'� �U� Title <br /> Phone g36'�� <br /> Consent Given By / U; l IJLI � Title As )l <br /> Inspection Date(s) 1 j 3 Inspection Type (circle): Routine Complaint Follow-Up <br /> REPRESENTATIVES PRESENT <br /> Name Title Organization <br /> — � v <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 res of the i ti s noted. <br /> K�' /4'/_ <br /> n �menta alth ci <br /> Spealist Receiv by Date <br /> 3/5/02 Page 1 of <br />