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ENVIRONMENTAL HEALTH DEPARTMENT. <br />` c SANJ VAQ 11 il�! O U l: TY Unuf supeniisors <br />t.Y'> `"' ^'Z <br />Donna K. iferan, R.E.H.S. Carl Sorgman, R.E.H.S. <br />W.,.::.✓�: 304 East Weber Avenue, Third Floor <br />N:a ' Alrector Mike Huggins, R.E.H.S., R.C.I. <br />Al Olsen, R.E.H.S. Stockton, California 95202-2708 Douglas W_ Nilson, R,E.KS. <br />• =,s , .::�a. Program Manager Telephone= (209) 4683420 Margaret T agorso, R.E.H.S. <br />Laurie A. Coti la, R.E.H S. Robert McClellon, R.E.H.S. <br />,program Manager Fax' (209) 464-0138 Marts Barrellos, R.;r.I•i.s. <br />UNIFIED PROGRAM HAZARDOUS WASTE INSPECTION REPORT <br />Facility Name <br />Address �.v�' ' Dr <br />S <br />City 1 State C& Zip Code <br />� <br />EPA 1.17.Number CAL ouc u 42-7 U Industry Type s Yt _�- <br />Facility Contact i)lorl��rn Title �' ~ AlJi fV).! Al - Phon '1. 3 15 <br />1, <br />Consent Given By ' ` Title <br />Inspection Dates) c , <br />'( inspection Type (circle): outine Complaint Follow -Up <br />REPRESENTATIVES PRESENT <br />Name Title Organization <br />ISS � <br />#of the California <br />This report may identify conditions observed this daythat <br />ofre alleged to be Title tions (22f one relating tothe m n gement of <br />Health and Safety Code (HSC) or the CaliforniaGalrfo�a CRegulations, <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 />aq <br />Failure to correct these violations within the scheduled <br />palioolationprovided <br />ssUance of this nspec onuReport d es not preclude <br />in County Environrriental <br />Health Department (EHD) citing you for continumgladdi <br />EHD from taking any administrative, civil or criminal action as a result of the violations noted. <br />Date <br />Environmental Health Specialist Received by <br />Page 1 of _�L <br />3!'_£ 'd OZ6' ON 8ti££-£tib-60Z ' dSN'ddl HOAd NVL l : l l V00Z ' 8 l' a EW <br />