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ENVIRONMENTAL HEALTH DEPARTMENT <br /> SAN JOAQUIN COUNTY <br /> Unit Supervisors <br /> 2 , H <br /> K <br /> ? Donna K. eran,R.E.H.S. Carl Borgman,R.E.H.S. <br /> -� 304 East Weber Avenue, Third Floor <br /> N. < Director 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 /> • �..• `P.• Program Manager Telephone: (209) 468-3420 Margaret Lagorio,R.E.H.S. <br /> q�/FORS Laurie A.Cotulla,R.E.H.S. Robert McClellon,R.E.H.S. <br /> Program Manager Fax: (209) 464-0138 Mark Barcellos,R.E.H.S. <br /> UNIFIED PROGRAM HAZARDOUS WASTE INSPECTION REPORT <br /> Facility Name <br /> Address <br /> City r'-Y State OA Zip Code <br /> EPA I.D.Number G�� Z4� Industry Type <br /> 1 Title <br /> Facility Contact Phone��cY�-�. —T— <br /> Consent Given ByCA„W.STitled SQLa <br /> Inspection Date(s)AA;?_A1V!- Inspection Type (circle): Routin Complaint Follow-Up <br /> REPRESENTATIVES PRESENT <br /> Name Title Organization <br /> St 1� �•r c1Z.. e, <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. Issyance of this Inspection Report does not preclude <br /> EHD from taking any administrative,civil or criminal action as a result iolations noted <br /> 1Snvi4ronintJaealth Specialist eceived by D to <br /> i <br /> 3/5/02 Page 1 of <br />