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Facility Name <br />Address D ca5� <br />City 1`�l State SA Zip Code <br />EPA I.D.Number L��� 3`6 D Industry Type <br />Facility Contact Title <br />��a� ` Phone'70.4bq' 0411 <br />� �� Y� <br />Consent Given By <br />Title <br />Inspection Type (circle): <br />Date(s)Routine Complaint Follow -Up <br />Inspection <br />REPRESENTATIVES PRESENT <br />Title Organization <br />Name 'RCI�S �C � I�� <br />Din V) 15 � G� <br />D i n 0'_ <br />v <br />of the California <br />This report may identify conditions observed this day that alleto be itle violations (22f one or relating tomore ttheSmanagement of <br />Health and Safety Code (HSC) or the Californiaf a CodeRegulations, <br />in on the attached note sheets. <br />hazardous waste. The violations may be described , you may detail After completing the <br />e informed of additional violations, <br />evaluation of the information obtained during the inspect submit <br />y Y <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 Inspection Joaquin o County does not preclude <br />Health Department (EHD) citing you for continuing/additional violations. Issuance o s <br />EHD from taking any administrative, civil or criminal action as a result of the violations noted. kceived by Date <br />iron t t Specialist <br />by Date <br />Page 1 of �. <br />3/5/02 <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />PQU�N <br />SAN JOAQUIN COUNTY Unit Supervisors <br />r.' -':.., .. �•Z <br />Donna K. Reran, R.E.H.S. 304 East Weber Avenue, Third Floor Carl Borgman, R.E.H.S. <br />Mike Huggins, R.E.H.S., R.D.I. <br />• <br />Director -270 Douglas W. Wilson, R.E.H.S. <br />Al Olsen, R.E.H.S. Stockton, California 95202 <br />"' .. P <br />Program Manager Telephone: (209) 468-3420 Margaret Lagorio, R.E.H.S. <br />Laurie A. Cotulla, RE.H.S. Robert McClellon, R.E.H.S. <br />Fax: (209) 464-0138 Mark Barcellos, R.E.H.S. <br />Program Manager <br />UNIFIED PROGRAM HAZARDOUS WASTE INSPECTION REPORT <br />Facility Name <br />Address D ca5� <br />City 1`�l State SA Zip Code <br />EPA I.D.Number L��� 3`6 D Industry Type <br />Facility Contact Title <br />��a� ` Phone'70.4bq' 0411 <br />� �� Y� <br />Consent Given By <br />Title <br />Inspection Type (circle): <br />Date(s)Routine Complaint Follow -Up <br />Inspection <br />REPRESENTATIVES PRESENT <br />Title Organization <br />Name 'RCI�S �C � I�� <br />Din V) 15 � G� <br />D i n 0'_ <br />v <br />of the California <br />This report may identify conditions observed this day that alleto be itle violations (22f one or relating tomore ttheSmanagement of <br />Health and Safety Code (HSC) or the Californiaf a CodeRegulations, <br />in on the attached note sheets. <br />hazardous waste. The violations may be described , you may detail After completing the <br />e informed of additional violations, <br />evaluation of the information obtained during the inspect submit <br />y Y <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 Inspection Joaquin o County does not preclude <br />Health Department (EHD) citing you for continuing/additional violations. Issuance o s <br />EHD from taking any administrative, civil or criminal action as a result of the violations noted. kceived by Date <br />iron t t Specialist <br />by Date <br />Page 1 of �. <br />3/5/02 <br />