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ENVI ONMENTAL HEALTH DEPARTMENT <br /> ' SAN JOAQUIN COUNTY <br /> Unit Supervisors <br /> ,R.E.H.S. Carl Borgman,R.E.H.S. <br /> Donna K.Hera <br /> Director <br /> 304 East Weber Avenue, Third Floor Mike Huggins,R.E.H.S.,R.D.1. <br /> n ` Ay Olsen, E.H.S. Stockton, California 95202-2708 Douglas W.Nilson,R.E.H.S. <br /> • �.'• �P Program Manager Telephone: (209) 468-3420 Nlargaret Lagorio,R.E.H.S. <br /> 4�4i61ta Laurie A.Cotulla,R.E.H.S. Fax: (209) 464-0138 Robert McClellon,R.E.H.S. <br /> Program Manager Mark Barcellos,R.E.H.S. <br /> UNIFIEC PROGRAM HAZARDOUS WASTE INSPECTION REPORT <br /> Facility Name <br /> Address6 <551r C <br /> State �A Zip Code <br /> City <br /> EPA I.D.Number <br /> L-(-1 C,C) ( l,?�� �-rJ Industry Type 2i Yi2 (' l <br /> FacilityContact �✓ ► I� Title �� tn� 11+nil1� _Phone �l - QN-3�� <br /> Consent Given By <br /> `k Title <br /> Inspection Date(s) nr <br /> D - 1:2-D Inspection Type (circle): outlne ; Complaint Follow-Up <br /> REPRESENTATIVES PRESENT <br /> Organization <br /> Name Title <br /> �c FED <br /> (�ICL'LbLliol <br /> Lcld 1 <br /> it <br /> is day that are alleged to be violations of one or more sections of the California <br /> This report may identify condi ions observed th <br /> Health and Safety Code (HSC) or the California ed in more detail onthe attached not e °mTitle <br /> rslheles.toAfter completing the <br /> hazardous waste. The violations may be described <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 spe ified(A certification form is provided). <br /> in County Environmental <br /> Failure to correct thlese violations within the scheduled al period <br /> violations.provided <br /> re f th s Inspection in San uReport does not preclude <br /> Health Department(EHD)cit ng you for continuing/adds <br /> EHD from taking any admini rative,civil or criminal action as a result of i tions noted. <br /> e i y Date <br /> Environmental Health Specialist <br /> Page 1 of; <br /> 3/5/02 <br />