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ENVIRONMENTAL HEALTH DEPARTMENT <br /> SAN JOAQUIN COUNTY <br /> o• "" Unit Supervisors <br /> Donna K.Heran,R.E.H.S. Carl Borgman,R.E.H.S. <br /> 304 East Weber Avenue,Third Floor <br /> 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 /> F0R� 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 <br /> city SA State fA Zip Code <br /> EPA I.D.Number IndustryType <br /> Facility Contact G\ 'S� Title- Phoneme-3--- <br /> Consent Given By V'iF'AL- ymm Title <br /> Inspection Dates) 3 - Ua Inspection Type (circle): outi a Complaint Follow-Up <br /> REPRESENTATIVES PRESENT <br /> Name Title Organization <br /> � AQCJj <br /> A� <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 /> ��vVijrd Ith �pecialfis�tReceived by Date <br /> 3/5/02 Page 1 of . <br />