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ENVIRONMENTAL HEALTH DEPARTMENT <br /> SAN JOAQUIN COUNTY <br /> o? co Unit Supervisors <br /> Donna K.Heran,R.E.H.S. Carl Borgman,R.E.H.S. <br /> :a 304 East Weber Avenue, Third Floor <br /> ai { Director Mike Huggins,R.E.H.S.,R.D.I. <br /> . Al Olsen,R.E.H.S. Stockton, California 95202-2708 <br /> Douglas W.Nilson,R.E.H.S. <br /> • .. �- \P Program Manager Telephone: (209) 468-3420 Margaret Lagorio,R.E.H.S. <br /> ko'RLaurie A.Cotulla,R.E.H.S. <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// q <br /> Address16 � ��') <br /> City :�+,) dow, State CA. Zip Code <br /> EPA I.D.Number L no O ";L wcfS Industry Type r0;1qa"(j <br /> Facility Contact utt --Title- �( r►� � Phone <br /> Consent Given By Title 66ajAW <br /> Inspection Date(s) Inspection Type (circle): Routine Complaint Follow-Up <br /> REPRESENTATIVES PRESENT <br /> Name Title Organizat,R <br /> (LKS K ,U <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 /> E v ro mental Health Specialist Received by Da <br /> 3/5/02 Page 1 of <br />