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ENVIRONMENTAL HEALTH DEPARTMENT <br /> SAN JOAQUIN COUNTY <br /> p,P•" "'•C Unit Supervisors <br /> Donna K.Heran,R.E.H.S. Third Floor Carl Bozeman,R.E.H.S. <br /> Q: • • . 304 East Weber Avenue, <br /> y: 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 <br /> Pt Manager Telephone: (209) 468-3420 Margaret Lagorio,R.E.H.S. <br /> CqC/FS\ Laurie A.Cotulla,R.E.H.S. Robert McClellon.R.E.H.S. <br /> ORFax: (209) 464-0138 Mark Barcellos,R.E.H.S. <br /> Program Manager <br /> UNIFIED PROGRAM HAZARDOUS WASTE INSPECTION REPORT <br /> Facility Name <br /> Address <br /> City 1 State CA.. Zip Code q�_00�k <br /> nn� <br /> EPA I.D.Number �,,.., L,��$ Industry Type �s <br /> - --- - - <br /> Facility Contact ( Title �`�16AAd;2r� Phone <br /> Consent Given By y Title <br /> inspection Date(s)_42 6O Inspection Type (circle): Routine Complaint Follow-Up <br /> REPRESENTATIVES PRESENT <br /> Name Title Organization <br /> -d 624 <br /> JA <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 e viol <br /> 4Envirental Health Specia ist <br /> Received by ate <br /> Page 1 of <br /> 3/5/02 <br />