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ENVIRONMENTAL HEALTH DEPARTMENT <br />SAN JOAQUIN COUNTY Unit Supervisors <br />� _� <br />2r ''' ? Donna K. Heran, R.E.H.S. <br />a 304 East Weber Avenue, Third Floor Carl Borgman, R.E.H.S. <br />` ' Director Mike Huggins, R.E.H.S., R.D.I. <br />71 J' 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 />9�i FOR`' Laurie A. Cotulla, R.E.H.S. Fax: (209) 464-0138 Robert McClellon, R.E.H.S. <br />Program Manager Mark Barcellos, R.E.H.S. <br />UNIFIED PROGRAM HAZARDOUS WASTE INSPECTION REPORT <br />Facility Name <br />Address 2� <br />City State CA Zip Code �Le�0 L-7 <br />EPA I.D.Number 64L�am Industry Type_ 94* -12 � <br />Facility Contact �_!� TitlePhone p f <br />�! <br />Title <br />Consent Given By i?i <br />Inspection Date(s) <br />Inspection Type (circle): Routine Complaint Follow -Up <br />REPRESENTATIVES PRESENT <br />� � i1i► : .J i'� idyl t' <br />0 annization <br />C. <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 vio tions noted. <br />Og 2 d <br />Environmen al Health Specialist <br />Re ived by to <br />Page 1 of <br />3/5/02 <br />