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COMPLIANCE INFO PRE 2019
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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MICKE GROVE
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11401
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2200 - Hazardous Waste Program
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PR0514190
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COMPLIANCE INFO PRE 2019
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Last modified
6/17/2019 9:46:56 AM
Creation date
6/17/2019 9:31:04 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2200 - Hazardous Waste Program
File Section
COMPLIANCE INFO
FileName_PostFix
PRE 2019
RECORD_ID
PR0514190
PE
2220
FACILITY_ID
FA0010135
FACILITY_NAME
MICKE GROVE GOLF COURSE
STREET_NUMBER
11401
Direction
N
STREET_NAME
MICKE GROVE
STREET_TYPE
RD
City
LODI
Zip
95240-9426
APN
05910002
CURRENT_STATUS
01
SITE_LOCATION
11401 N MICKE GROVE RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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ENVIRONMENTAL HEALTH DEPARTMENT <br />SAN JOAQUIN COUNTY <br />Unit Supendsors <br />Donna K. Heran, R.E.H.S. Third Floor Carl Borgman, R.E.H.S. <br />y 304 East Weber Avenue, Mike Huggins, R.E.H.S., R.D.I. <br />Director 7 2_2 <br />`1 Douglas W. Wilson, R.F.H.S. <br />Al Olsen, R.E.H.S. Stockton, California 95 0_ 705 <br />Progrtmn ,tlanager Telephone: (209) 465-3420 Margaret Lagorio, R.E.H.S. <br />gCiFORS Laurie A. Cotulla, R.E.H.S. Fax: (209) 464-0135 Robert McClellon, R.E.H.S. <br />Program Afanager Mark Barcellos, R.E.H.S. <br />UNIFIED PROGRAM HAZARDOUS WASTE INSPECTION REPORT <br />Facility Name Wk e4 -w,' 6'2PQe 6�'q;F <br />Address\\yO\ V" <br />City moo\ <br />to -CA Zip Code <br />EPA I.D.Number <br />�+,l ,00�0y�5 o Industry Type C -O\ -O Go�� <br />Facility Contact. �`�--�`�Gs Title ` ` -�`- Phone �-- <br />Consent Given By <br />_Title <br />Inspection Date(s) Inspection Type (circle): FKoutin Complaint Follow -Up <br />REPRESENTATIVES PRESENT <br />Name Title Organization <br />one or more <br />ons of the <br />This report may identify conditions observed this day Code ofeReleglatd�io�s Title 22 (22e violations fCCR) relating totlthe managemleotnc <br />Health and Safety Code (HSC) or the California 9 <br />hazardous waste. The violations may be describein m you may beonf the ata hed additional shevioets. <br />After completing th <br />evaluation of the information obtained during the inspection, y <br />If any violations are noted, the facility is required to submit a signed Certification of Return to Compliance within E <br />days, unless otherwise specified (A certification form is provided). <br />in County Environment <br />Failure to correct these violations within the scheduled <br />iipll�iolatonlsedI m a ce of this inspection fesult in San guReport does not precluc <br />Health Department (EHD) citing you for continuing/addtoa <br />EHD from taking any administrative, civil or criminal action as a7 It }, rations noted. <br />y Date <br />Env' o at H a Specialist <br />Page -1 of 5 <br />3/5/02 <br />
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