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ENVI ONMENTAL HEALTH DEPARTMENT <br /> ' SAN JOAQUIN COUNTY <br /> Unit S'upenisors <br /> Donna K.Hera ,R.E.H.S. <br /> Carl Borgman,R.E.H.S. <br /> Dire <br /> 304 East Weber Avenue, Third Floor <br /> ct r Mike Huggins,R.E.H.S.,R.D.I. <br /> } - <br /> `` '• Al Olsen,R E.H.S. Stockton, California 95202-2708 Douglas W.Nilson,R.E.H.S. <br /> • Program M Hager Tele hone: (209) 468 <br /> � Fo.R -3420 Margaret Lagorio,R.E.H.S. <br /> qi �i P <br /> Laurie A.Cotula,R.E.H.S. Fax: (209) 464-0138 Robert McClellon,R.E.H.S. <br /> Program b( nager Mark Barcellos,R.E.H.S. <br /> UNIFIED PROGRAM HAZARDOUS WASTE INSPECTION REPORT <br /> Facility Name y <br /> Address <br /> A.. <br /> City % State OZip Code <br /> EPA I.D.NumberU (� �1 Industry Type f�infio -fYt it <br /> Facility Contact e Title a1 .V Phone �q . D <br /> Consent Given By <br /> i 1 Title <br /> Inspection Date(s) l (�'D Inspection Type (circle): Routine, Complaint Follow-Up <br /> REPRESENTATIVES PRESENT <br /> Name Title Organization <br /> jTeA kl ti .m <br /> This report may identify conditi ns observed this day that are alleged to be violations of one or more sections of the California <br /> Health and Safety Code (HS ) or the California Code of Regulations, Title 22 (22 CCR) relating to the management of <br /> hazardous waste. The violat ons may be described in more detail on the attached note sheets. After completing the <br /> evaluation of the information o tained during the inspection,you may be informed of additional violations. <br /> If any violations are noted, It e facility is required to submit a signed Certification of Return to Compliance within 60 <br /> days, unless otherwise spec fied(A certification form is provided). <br /> Failure to correct these violat ns 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 /> Ata , <br /> d by <br /> Date <br /> Environmental Health Specialist Receive <br /> Page 1 of <br /> 3/5/02 <br />