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ENVIRONMENTAL HEALTH DEPARTMENT <br /> f u� C � ' SAN JOAQUIN COUNTY <br /> �. Unit Supervisors <br /> Donna K.Heran,Rb 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 /> L'�=" " " '• Al Olsen,R.E.H.S. Stockton, California 95202-2708 Douglas W.Wilson,R.E.H.S. <br /> • c., — �P Program Manager Telephone: (209) 468-3420 Margaret Lagorio,R.E.H.S. <br /> 4�t 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 /> rri l-G� Q_JNIFIED PROGRAM HAZARDOUS WASTE INSPECTION REPORT <br /> Facility Name TV4 BO --r'N lr L <br /> Address S aNA woo <br /> /V�p,►� T eL� State CIL Zip Code 5 <br /> City l�1 6Aaj,11 � "� u�-k►' <br /> EPA I.D.Number I Industry Type <br /> 1p5� �(A -.r i S Title OvV YN�. Phone Z3 <br /> Facility Contact <br /> 44 , <br /> Consent Given By_ rT 1� IAAr�I S Title Ow� <br /> Inspection Date(s) 2 o Inspection Type (circle): Routine Complaint Follow-Up <br /> REPRESENTATIVES PRESENT <br /> Title , Organization <br /> Name v S, C_ <br /> o w <br /> >o I 6C <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 /> of <br /> Health and Safety Code (HSC) or the California C d enol Regu <br /> hazardous waste. The violations may be des detail on the attached not relatinglations, Title 22 (22 CCR) sheeto After completing managementthe 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 <br /> period <br /> violationprovided <br /> lssuance of this Inspection Joaquin <br /> Report does not preclude <br /> Health Department (EHD)citing you for continuing/additional <br /> EHD from taking any administrative, civil or criminal action as a result of he violations oted. <br /> 0 <br /> '� Date <br /> Enviro ental Health Specialist ceived by <br /> Page 1 of <br /> 3/5/02 <br />