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ENVI ONMENTAL HEALTH DEPARTMENT <br /> SAN JOAQUIN COUNTY <br /> Unit Supervisors <br /> Donna K.He an,R.E.H.S. Carl Borgman,R.E.H.S. <br /> Dire ror 304 East`Veber Avenue, Third Floor Mike Huggins,R.E.H.S.,R.D.I. <br /> At Olsen, E.H.S.. Stockton, California 95202-2708 Douglas W.Wilson,R.E.H.S. <br /> •'�.. �P Pro ram Tanager 7 <br /> Margaret Lagorio,R.E.H.S. <br /> Telephone: (209) 468-3420 g <br /> °�iFOR`' Laurie A.Cot Ila,R.E.H.S. Robert McClellon,R.E.H.S. <br /> Program fanager <br /> Fax: (209) 464-0138 Mark Barcellos,R.E.H.S. <br /> UNIFIE PROGRAM HAZARDOUS WASTE INSPECTION REPORT <br /> -�5 u �r <br /> Facility Name .3 <br /> Address /2 / <br /> +� State QL Zip Code <br /> City <br /> EPA I.D.Numb 3� Industry Type <br /> Facility Contact Ue. l l I e Title <br /> a t .�' Grp Oda Phone 4j_ t/69y <br /> t � <br /> Consent Given By <br /> Title <br /> Inspection Date(s) <br /> z d Inspection Type (circle): Complaint Follow-Up <br /> REPRESENTATIVES PRESENT <br /> Organization <br /> Title <br /> Nan3p— 1 J G ,� <br /> O � <br /> This report may identify con itions observed this day that are alleged to be violations of one or of Regulations, Title 22 (22 CCR) relating more tot sections management of <br /> Health and Safety Code (H attionsrnia <br /> r may bethe lifddescribed rnia en more detail on the attached not shee . After completing the <br /> hazardous waste. The vio y p you may be informed of additional violations. <br /> evaluation of the information obtained during the inspection,y y <br /> If an violations are noted the facility is required to submit a signed Certification of Return to Compliance within 60 <br /> y <br /> days,unless otherwise sp cified(A certification form is provided). <br /> in County Environmental <br /> Failure to correct these vio ations within the scheduled period peassuance of t may result I•s nspect onn San uReport does not preclude <br /> Health Department(EHD)ci ing you for continuing/additional violations. <br /> EHD from taking any admini trative,civil or criminal action as a result of the violations of d. <br /> Received b Date <br /> ironmenta ealth Speci list <br /> Page 1 of <br /> 315/02 <br />