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ENVIRONMENTAL HEALTH DEPARTMENT <br /> SAN JOAQUIN COUNTY <br /> �,._�_.•.pG Unit Supervisors <br /> Donna K.Heran,R.E.H.S. Carl Borgman,R.E.H.S. <br /> Third Floor <br /> Director 304 East Weber Avenue, Mike Huggins,R.E.H.S.,R.D.I. <br /> Al Olsen,R.E.H.S. Stockton, California 95202-2708 <br /> Douglas W.Wilson,R.E.H.S. <br /> • �q, �P• Program Manager Telephone: (209) 468-3420 Margaret Lagorio,R.E.H.S. <br /> �i F 6.1 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 /> UNIFIED PROGRAM HAZARDOUS WASTE INSPECTION REPORT <br /> Facility Name = -� ---` <br /> Address��? <br /> City State.LA Zip Code <br /> _�.� <br /> EPA I.D.Numberyr�Z Industry Type <br /> Facility Contact itiePhone <br /> Consent Given ByJ°''r� �c�rF;�T Title� F� �1� <br /> Inspection Dates) 2DD Inspection Type (circle): utine Complaint Follow-Up <br /> REPRESENTATIVES PRESENT <br /> N me Title Organization <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 continuing/additional 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 /> 01r <br /> inv�iro. al Health Specialist Received by Oate <br /> Page 1 of'k <br /> 3/5/02 <br />