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ENVIRONMENTAL HEALTH DEPARTMENT <br /> SAN JOAQUIN COUNTY <br /> Unit Supervisors <br /> Donna K.Heran,R.E.H.S. Carl Bergman,R.E.H.S. <br /> 304 East Weber Avenue, Third Floor Mike Huggins,R.E.H.S.,R.D.I. <br /> h; < Director <br /> Al Olsen,R.E.H.S. Stockton, California 95202-2708 Douglas W.Wilson,R.E.H.S. <br /> •' . Program Manager Telephone: (209) 468-3420 Margaret Lagorio,R.E.H.S. <br /> Q[�FORN�P Laurie A.Cotulla,RE.H.S. Robert McClellan,R.E.H.S. <br /> Program Hfanager Fax: (2O9) 464-0138 Mark Barcellos,R.E.H.S. <br /> UNIFIED PROGRAM HAZARDOUS WASTE INSPECTION REPORT <br /> Facility Name e M <br /> Address <br /> City State CA Zip Code Q� � <br /> EPA I.D.Number Industry Type �O�l� <br /> Facility Contact'�&s � —Title 66ff�X � ���y� �� PhoneC2 6OZ' OZY <br /> 1.3 y �ATld1� /6P <br /> Consent Given By , Tit] <br /> Inspection Date(s) ld�/, 7- Inspection Type (circle): ROutin Complaint Follow-Up <br /> REPRESENTATIVES PRESENT <br /> Name Title Organization <br /> ra r / IFn Ads L. /aECNf b0� g cylfc� T a( ?"'io1 <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 continuingladditional violations. Issuance of this Inspection Report does not preclude <br /> EHD from taking any administrative,civil or criminal action as a result of the violations noted. <br /> r S D <br /> U Received by Date <br /> nvironmental Health Specialist <br /> Page f of_�;_ <br /> 3/5/02 <br />