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ENVIRONMENTAL HEALTH EPARTMENT <br />SAN JOAQUIN COUNTY <br />°,.• Unit Supervisors <br />�.• — a�j' .OG <br />Donna K. Heran, R.E.H.S. Carl Borgman, R.E.H.S. <br />Director 304 East Weber Avenue, Third Floor 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 />QCT P ORa\ 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 />g��1, 101111 <br />Facility Name / <br />Address <br />lState CA Zi <br />City J?Gzic�-r-�/ P Code <br />EPA I.D.Number D Z '�-�Industry Type A/Z4 �� ld"' gL%' <br />� � Phone I <br />Facility Contact �'«�' k (� Title s= � �� c 7o z <br />Consent Given By Title <br />Inspection Date(s) Inspection Type (circle): outine Complaint Follow -Up <br />REPRESENTATIVES PRESENT <br />Name <br />C <br />II_�I <br />Title <br />"-s.� j. <br />Organization <br />SJG <br />AAAc' <br />A�1 — <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 />o <br />V "-Date <br />onmen ealth Specialist R eived by <br />Pagel of <br />3/5/02 <br />