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ENVIRONMENTAL HEALTH DEPARTMENT <br /> QUIN COUNTY <br /> SAN JOA Unit Supervisors <br /> Carl Borgman,R.E.H.S. <br /> Donna K.Heran,R.E.H.S. <br /> 304 East Weber Avenue, Third oor <br /> �a Mike Huggins,R.E.H.S.,R.D.I. <br /> Director Stockton California 95202-2708 <br /> Al Olsen,R.E.H.S. Douglas W.Wilson,R.E.H.S. <br /> • ' .,. -'c• 468-3420 Margaret Lagorio,R.E.H.S. <br /> Program Manager Telephone: (209) <br /> FORLaurie A.Cotulla,R.E.H.S. Robert McClellon,R.E.H.S. <br /> Fax: (209) 464-0138 Mark Barcellos,R.E.H.S. <br /> Program Manager <br /> UNIFIED PROGRAM HAZARDOUS WASTE INSPECTION REPORT <br /> Facility Name J)i e,4-Y, Gh 1h A[4S+YI1CS <br /> Address 7 %Z 5 5 A r 0,(-+ W <br /> (�IIG-F�Iv► ► State CA-Zip Code �r2 2-0 LF <br /> C&� DbDDg � `� l>?5 Industry Type �0441Fravri2 �rod�.�l`o►�. <br /> EPA I.D.Number <br /> �A,YI� LI"` Title•' ipplanft <br /> ►�- m- Phone m1. � Ll 1, c4a �P <br /> Facility Contact 1 , <br /> I <br /> Title <br /> Consent Given By <br /> Inspection Type (circle): Routine Complaint Follow-Up <br /> Inspection Date(s) <br /> REPRESENTATIVES PRESENT <br /> Title Organization <br /> Name �-C< eT)LkLg - <br /> �1 <br /> ons of the California <br /> This rep ort may identify conditions observed this day that are allegedoto be Tit e 22 (22fCCR) relating toone or more tlthe management of <br /> Health and Safety Code (HSC) or the California Code of Reg <br /> hazardous waste. The violations may be described in .morernata�e infohmed of addie attached note sheets.tonal v'olations,After completing the <br /> evaluation of the information obtained during the inspection,you y <br /> violations are noted,the facility is required to submit a signed Certification of Return to Compliance within 60 <br /> If an y <br /> days,unless otherwise specified (A certification form is provided). <br /> esult in San <br /> Co <br /> nty <br /> Failure <br /> to correct these violations within the scheduled period provided may re of this s nspectonuin o u does not preclude <br /> ironmental <br /> Health Department(EHD)citing you for continuing/additional violations. <br /> issuancEHD from taking any administrative,civil or criminal action as a result of violations noted. <br /> 4-z--D3 <br /> Environmental Heal Specialist <br /> Re ived y Date <br /> Page 1 of� . <br /> 3/5/02 <br />