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ENVIRONMENTAL HEALTH EPARTMENT <br /> PpU.IN C SAN JOAQUIN COUNTY Unit Supervisors <br /> Z' ?� Donna K.Heran,R.E.H.S. Third Floor Carl Boins,R. R.E.H.S, <br /> 304 East`Veber Avenue, Mike Hu��ins,R.E.H.S.,R.D.[. <br /> '', Director California 95202-2708 <br /> - '• Al Olsen,R.E.H.S. Stockton, Douglas W.Nilson,R.E.H.S. <br /> P Program Manager Telephone: (209) 468-3420 Margaret La�orio,R.E.H.S. <br /> cQ4 iFOR`' Laurie A.Cotulla,R.E.H.S. Fax: 209 464-0138 Robert M rcell s,R.E.H.S.R.E.H.S. <br /> Program Manager <br /> ( ) Mark Barcellos,R.E.fi.S. <br /> UNIFIED PROGRAM HAZARDOUS WASTE INSPECTION REPORT <br /> Facility Name <br /> Address �6 2 -7 C �� ✓Q� <br /> State�Zip Code <br /> City ��r'�..''' GAA .g�a+f/ 3�6t <br /> EPA I.D.Numb r CSL CSG 2,30t Industry Type <br /> Facility Contact <br /> • Title ��)�� Title I <br /> Phone 1/41/-1/41/-83066�� �3d6 <br /> Consent Given By <br /> Inspection Date(s) U ZQEtDini �03 Inspection Type (circle): Complaint Follow-Up <br /> REPRESENTATIVES PRESENT <br /> Name <br /> Title Organization���� ,D <br /> 0Se <br /> ons of the <br /> ia <br /> This report may identify conditions observed this day that e of Regulations, Title re alleged to be lations 22 (22fCCR) relating toone or more tlthe managemle�tnof <br /> Health and Safety Code (HSC) or the California Cod Regulations, no <br /> hazardous waste. The violations may be described in more <br /> tail on informedte attached <br /> addonte violations After completing the <br /> evaluation of the information obtained during the inspectionyou may,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 scheduledPfolationprovided <br /> lssuance of this Inspection not preclude <br /> in County Environmental <br /> Health Department(EHD)citing you for continuing/additioal <br /> vioEHD from taking any administrative, civil or criminal action as a res a violations noted. <br /> 2�'Z &o <br /> Xvironment ealth Specialist <br /> Received y Date <br /> Page 1 of -5- <br /> 3/5/02 <br /> J3/5/02 <br />