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ENV <br /> I ONMENTAL HEALTH DEPARTMENT <br /> SAN JOAQUIN COUNTY Unit Supervisors <br /> Carl Borgman,R.E.H.S. <br /> Donna K.Her n,R.E.H.S. <br /> Q. , ��',. „•, , j 304 East Weber Avenue,Third Floor Mike Huggins,R.E.H.S.,R.D.I. <br /> Dire for Stockton, California 95202-2708 Douglas W.Wilson,R.E.H.S. <br /> Al Olsen, .E.H.S. Telephone: (209) 468-3420 MargaretcClell n R.E.H.S. <br /> • '�: <`P• Program fanager Robert McClellon,R.E.H.S. <br /> F'oR� Laurie A.Cot 11, R.E.H.S. <br /> Fax: (209) 464-013 Mark Barcellos,R.E.H.S. <br /> Program anager <br /> UNIFIED PROGRAM HAZARDOUS WASTE INSPECTION REPORT <br /> Facility Name lulIKIl: aS <br /> Address L y 17 VN GhaYfie� V�IG <br /> City 1<-4vn State CA_Zip Code 2D <br /> EPA I.D <br /> Number LW Industry Type <br /> Facility Contact7REPRESENTATIVES <br /> Title Phone 2�1,�1��• 2��� <br /> TitConsent Given Ins ection Type (circle): Routine Complaint F011OW-Up <br /> Inspection Datep PRESENT <br /> Title Organization <br /> Name �Ws <br /> 1 PA- �a� hw tier uhiicd Has <br /> Y►0. <br /> rnia <br /> This report may identify con itions observed this day that are aelegatito be ons, Title violations 22 (22fone or more CCR) relating totlons of the the management of <br /> Health and Safety Code ( SC) or the California Code of Regulations, <br /> hazardous waste. The vi latil on the attached note sheets. <br /> ions may be described in.moreat be informed of additonal violations After completing the <br /> evaluation of the informatio obtained during the inspection,you y <br /> If an violations are note ,the facility is required to submit a signed Certification of Return to Compliance within 60 <br /> Y <br /> days,unless otherwise s ecified (A certification form is provided). <br /> ln County <br /> ironmentalFailure to correct these vi lations within the scheduled period provided may re of this s nspectionuReport does not precludE <br /> esult in San Joaq <br /> Health Department(EHD) iting you for continuing/additional violations <br /> . issuancEHD from taking any admi strative,civil or criminal action as a result of the violations noted. <br /> Received by Date <br /> Environmental Health Spe alist <br /> Page I of 5 <br /> 315102 <br />