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ENVIRONMENTAL HEALTH DEPARTMENT <br /> gPgU � !V C SANJOAQUIN COUNTY <br /> • . ,oG Unit Supervisors <br /> Donna K. Heran , R.E.H . S . Carl Borgman, R. E . H . S . <br /> i • 304 East Weber Avenue , Third Floor <br /> N: Director Mike Huggins , R. E .H . S . , R . D . I . <br /> 11 =- Al Olsen , R.E.H . S. Stockton , California 95202-2708 Douglas W . Wilson , R . E . H . S . <br /> • � . , c • Pro ram Manager Telephone : (209 ) 468 - 3420 Margaret Lag <br /> orio , R. E . H . S . <br /> 4 � i FORS Laurie A. Cotulla, R.E .H . S . Robert McClellon , R. E . H . S . <br /> Program Manager Fax : (209) 464 - 0138 Mark Barcellos , R. E . H . S . <br /> UNIFIED PROGRAM HAZARDOUS WASTE INSPECTION REPORT <br /> Facility Name `Jtb �� O'17t�c <br /> Address q4RL2 <br /> City .�� State CA Zip Code 653�� <br /> EPA I . D . Number Industry Type ( I�C� <br /> Facility Contact �fl ��il 11 �lt (� / TitleWi�G� Phone <br /> Consent Given By <br /> Y Title <br /> Inspection Date (s ) ' � d� Inspection Type ( circle ) : outine Complaint Follow- Up <br /> REPRESENTATIVES PRESENT <br /> Name Title Organization <br /> c ' <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 /> fnvromental Health Specialist Receiv d by D to <br /> 3/5/02 Page 1 of <br />