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ENVIRONMENTAL HEALTH DEPARTMENT <br /> SAN JOAQUIN COUNTY <br /> so.•_� ,oG Unit Supervisors <br /> Donna K.Heran,R.E.H.S. 304 East Weber Avenue, Third Floor Carl Borgman,R.E.H.S. <br /> v: <br /> v: { Director Mike Huggins,R.E.H.S.,R. . . <br /> 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 /> i 6,0 Laurie A.Cotulla,R.E.H.S. Robert McClellon,R.E.H.S. <br /> � <br /> ProgramTanager FaX: (209) 464-0138 Mark Barcellos,R.E.H.S. <br /> UNIFIED PROGRAM HAZARDOUS WASTE INSPECTION REPORT <br /> Facility Name (:2"U/T�� <br /> Address �?L��t`�� ��'� <br /> Y State OA Zip Code <br /> City <br /> EPA I.D.Number Industry Type /'34:5 <br /> Facility Contact''2° t f7T Cdd( �Title Phone d3Zi �Z <br /> Consent Given By <br /> Inspection Date(s)� Inspection Type (circle): Routine Complaint Follow-Up <br /> REPRESENTATIVES PRESENT <br /> Name Title 0 ianization <br /> T1 ,nN t <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 violations noted. <br /> We <br /> Environmental Health Specia ist <br /> Received by <br /> Page 1 of-k <br /> 3/5/02 <br />