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UNIFIED PROGRAM HAZARDOUS WASTE INSPECTION REPORT <br />Facility Name A15f <br />Address <br />City �''''State _QA Zip Code <br />EPAI.D.NumberCA'(�Industry Type�Jl <br />,�v.0-ar�r� jWl �-Title �izfv�nP ,i�Asslf� —Phone s�"�/� <br />Facility Contact g • �_�___—=- <br />Consent Given By� <br />Title <br />Inspection Dates) S u� Inspection Type (circle): Routine. Complaint Follow -Up <br />REPRESENTATIVES PRESENT <br />Title <br />T S <br />um jjWjP=.W <br />jp- <br />Organization <br />ia <br />This report may identify conditions observed this day the of Regare uaao�s Title 22 (22e violations fCCR) relating toone or more t'the managemeons of the �tnof <br />Health and Safety Code (HSC) or the California Cod <br />hazardous waste. The violations may be described in more tail on informed attached of additional sheets. After completing the <br />evaluation of the information obtained during the inspection, you may <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 />in County <br />ironmental <br />Failure to correct these violations within the scheduleditionaliod violat ondedmay result in San s. ssuance of this Inspection nvot preclude <br />Health Department (EHD) citing you for continuing <br />EHD from taking any administrative, civil or criminal action as a result of the violations noted. <br />' Za aL <br />Environmental Health Specialist <br />eived by D to <br />Page 1 of� <br />3/5/02 <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />P o <br />SAN JOAQUIN COUNTY <br />Unit Supervisors <br />• <br />R.E.H.S. <br />Donna K. Heran, R.E.H.S. <br />304 East Weber Avenue, Third Floor <br />Carl Borgman, <br />R.E.H.S., R.D.I. <br />' t • <br />Director <br />Al Olsen, R.E.H.S. <br />Stockton, California 95202-2708 <br />Mike Huggins, <br />Douglas W. Nilson, R.E.H.S. <br />P <br />Program Manager <br />Telephone: (209) 468-3420 <br />Margaret Lagorio, R.E.H.S. <br />FOR` <br />Laurie A. Cotulla, RE.H.S.Robert <br />FaX: (209) 464-0138 <br />IvScClellon, R.E.H.S. <br />Program Manager <br />Mark Barcellos, R.E.H.S. <br />UNIFIED PROGRAM HAZARDOUS WASTE INSPECTION REPORT <br />Facility Name A15f <br />Address <br />City �''''State _QA Zip Code <br />EPAI.D.NumberCA'(�Industry Type�Jl <br />,�v.0-ar�r� jWl �-Title �izfv�nP ,i�Asslf� —Phone s�"�/� <br />Facility Contact g • �_�___—=- <br />Consent Given By� <br />Title <br />Inspection Dates) S u� Inspection Type (circle): Routine. Complaint Follow -Up <br />REPRESENTATIVES PRESENT <br />Title <br />T S <br />um jjWjP=.W <br />jp- <br />Organization <br />ia <br />This report may identify conditions observed this day the of Regare uaao�s Title 22 (22e violations fCCR) relating toone or more t'the managemeons of the �tnof <br />Health and Safety Code (HSC) or the California Cod <br />hazardous waste. The violations may be described in more tail on informed attached of additional sheets. After completing the <br />evaluation of the information obtained during the inspection, you may <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 />in County <br />ironmental <br />Failure to correct these violations within the scheduleditionaliod violat ondedmay result in San s. ssuance of this Inspection nvot preclude <br />Health Department (EHD) citing you for continuing <br />EHD from taking any administrative, civil or criminal action as a result of the violations noted. <br />' Za aL <br />Environmental Health Specialist <br />eived by D to <br />Page 1 of� <br />3/5/02 <br />