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ENVI ONMENTAL HEALTH DEPARTMENT <br /> pPpUlry C SAN JOAQUIN COUNTY <br /> ).• _,��' .oG Unit Supervisors <br /> Z. � �" _ Donna K.Her n,R.E.H.S. Carl Borgman,R.E.H.S. <br /> 304 East Weber Avenue, Third Floor <br /> Dire for Mike Huggins,R.E.H.S.,R.D.I. <br /> Al Olsen, .E.H.S. Stockton, California• 95202-2708 Douglas W.Wilson,R.E.H.S. <br /> • �<gC,FORa\P Program. anager Telephone: (209) 468-3420 Margaret Lagorio,R.E.H.S. <br /> Laurie A.Cot Ila,R.E.H.s. Fax: (209) 464-0138 Robert McClellon,R.E.H.S. <br /> Program fanager Mark Barcellos,R.E.H.S. <br /> UNIFIED PROGRAM HAZARDOUS WASTE INSPECTION REPORT <br /> Facility Name <br /> Address <br /> City State CA Zip Code <br /> EPA I.D.Number Industry Type%l wltk <br /> Facility Contact Title Phone—BL--4(Zo <br /> Consent Given By Title u <br /> Inspection Dates) 2 V Inspection Type (circle): &;;) Complaint Follow-Up <br /> REPRESENTATIVES PRESENT <br /> Name Title Organization <br /> This report may identify conditio is observed this day that are alleged to be violations of one or more sections of the California <br /> Health and Safety Code (HSC i 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 specif ed (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 administra ive, civil or criminal action as a result of the violations noted. <br /> Environmental Health Specialist Receives —DAte <br /> 3/5/02 Page 1 of <br />