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NTAL HEALTH- DEPARTMENT <br /> ENVIRONMENTAL <br /> SAN JOAQUIN COUNTY <br /> PQU'�N.C <br /> Unit Supervisors <br /> Carl Borgman,R.E.H.S. <br /> ?� Donna K.Heran,R.E.H.S. 304 East`Veber Avenue, Third Floor Mike Huggins,R.E.H.S.,R.D.I. <br /> cr -- Director <br /> Douglas« Wilson,R.E.H.S. <br /> � At Olsen,R.E.H.S. Stockton, California 9j202-270 �. <br /> � iVlargaret Lagorio,R.E.H.S. <br /> Telephone: (209) 465-3420 <br /> P Program afanager Robert McClellon,R.E.H.S. <br /> oq�i F o,R�� Laurie A.Cotulla,R.E.H.s. Fax: (209) 464-0135 Mark Barcellos,R.E.H.S. <br /> Program Manager <br /> UNIFIED PROGRAM HAZARDOUS WASTE INSPECTION REPORT <br /> Facility Name ` <br /> Address <br /> State CA Zip Code <br /> City <br /> L e�� 5 Industry Type �� <br /> EPA I.D.Number Z _ <br /> Phone <br /> Facility Contact {-12' Title' <br /> Consent Given By Title <br /> Inspection Date(s) <br /> Inspection Type (circle): Routine Complaint Follow-Up <br /> REPRESENTATIVES PRESENT <br /> Title Organization <br /> Na <br /> one <br /> This report may identify conditions observed this day that are alleged to b f r more <br /> Title 22 (22 g to the management of <br /> ections of the California <br /> P CCR) relating <br /> Health and Safety Code (HSC) or the California Code of eg <br /> hazardous waste. The violations may be described in more detail info med of additional on the attached onal violations. <br /> After completing the <br /> evaluation of the information obtained during the inspection,you may compliance within 60 <br /> If any violations are noted, the facility is required to submit a signed Certification of Return to <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 /> alth De artment (EHD) citing you for continuing/additional violations . the v olae of t is In pection Report does not preclude <br /> HeP <br /> EHD from taking any administrative, civil or criminal action as a resu <br /> � ` Q <br /> cialist Received by <br /> Date <br /> Environmental Health p <br /> Page 1 of <br /> 3/5/02 <br />