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ENVIRONMENTAL HEALTH DEPARTMENT <br />'SAN JOAQUIN COUNTY <br />Donna K. Heran, R.E.H.S. 304 East Weber Avenue, Third Floor <br />Director <br />Al Olsen, R.E.H.S. Stockton, California 95202-270 <br />Program Manager Telephone: (209) 468-3420 <br />Laurie A. Cotulla, R.E.H.S. Fax: (209) 464-0138 - <br />Program Manager <br />Facility Name <br />Unit Supervisors <br />Carl Borgman, R.E.H.S. <br />Mike Huggins, R.E.H.S.. R.D.I. <br />Douglas W. Wilson, R.E.H.S. <br />Margaret Lagorio, R.E.H.S. <br />Robert McClellon, R.E.H.S. <br />Mark Barcellos, R.E.H.S. <br />UNIFIED PROGRAM HAZARDOUS WASTE INSPECTION REPORT <br />Address <br />v v-rT� <br />State CA Zip Code � �2��i,' <br />City <br />— <br />I' �-1 rile©') �tl� I /"��'Tz'3 r" r r► <br />EPA I.D.Number Industry Type 4 <br />,t, � Phone r) <br />Facility Contact �(�) J Title' <br />li <br />Title <br />Consent Given By <br />Inspection Date(s)-�a�-'`7 Inspection Type (circle): <br />�.� <br />REPRESENTATIVES PRESENT <br />Name Title <br />11 A �c�„�t kP� ��► <br />Routine Complaint - Follow -Up <br />Organization <br />�. <br />relating to the management of <br />ort may identify conditions observed this day that are alleged to <br />be it el 22 (22CCR) <br />one r more9 sections of the California <br />This rep Y completing the <br />Health and Safety Code (HSC) or the California Code of Regulations,ched note sheets. <br />hazardous waste. The violations may be described in more you may on informed a a addit onal violations. <br />After comp 9 <br />evaluation of the information obtained during the inspection, y y <br />If any violations are noted, the facility is required to submit a sig) Rance within 60 <br />ed Certification of Return to Comp <br />days, unless otherwise specified (A certification form is p Environmental <br />Failure to correct these violations within the scheduled period provided may result in San Joaquin County <br />Health Department (EHD) citing you for continuing/additional violations• issuance <br />of this <br />inspection Report does not preclude <br />EHD from taking any administrative, civil or criminal action as a resu e <br />Date <br />- eceived by <br />Environmental Health Specialist <br />Page 1"of <br />3/5/02 <br />