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ENVIRONMENTAL HEALTH DEPARTMENT <br /> ' SAN JOAQUIN COUNTY <br /> �.•_�..'�.oG Unit Supervisors <br /> Donna K.Heran,R.E.H.S. Carl Borgman,R.E.H.S. <br /> N < Director 304 East Weber Avenue, Third Floor `like Huggins,R.E.H.S.,R.D.I. <br /> ' '• Al Olsen,R.E.H.S. Stockton, California 95202-2708 Douglas W.Wilson,R.E.H.S. <br /> • �... �P Program Manager Telephone: (209) 468-3420 Margaret Lagorio,R.E.H.S. <br /> 4�tFORa Laurie A.Cotulla,R.E.H.S. P <br /> 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 4-\\5a-. <br /> Address \Xa-\ s � <br /> City '_�\ State CA..Zip Code <br /> EPA I.D.Number Industry Type ,F . \-::, � <br /> Facility Contact y4-:izjEv.� Title-X)\S- eh-"�4• Phone-%` - <br /> Consent Given By`""� S J "��- Title c- r a <br /> Inspection Date(s) `�'�\�`� Inspection Type (circle): Cd—uDtin) Complaint Follow-Up <br /> REPRESENTATIVES PRESENT <br /> Name Title Organization <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 /> 2AA <br /> E ' on ea ecialist <br /> Received by Date <br /> Page 1 of <br /> 3/5/02 <br />