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ENVIR NMENTAL HEALTH DEPARTMENT <br /> SAN JOAQUIN COUNTY <br /> Unit Supervisors <br /> Donna K.Heran, .E.H.S. <br /> 304 East Weber Avenue, Third Floor Carl Borgman,R.E.H.S. <br /> Director Huggins,R.E.H.S.,R.D.I. <br /> Mike Hing <br /> Al Olsen,RX H.S. Stockton, California 95202-2708 Douglas W.Wilson,R.E.H.S. <br /> • .. �P Program Man ger Telephone: (209) 468-3420 Margaret Lagorio, R.E.H.S. <br /> 4 <br /> <<......FORa Laurie Al.Cotulla,R.E.H.S. Robert�IcClellon,R.E.H.S. <br /> Pro ram Man er Fax: (209) 464-0138 <br /> g Mark Barcellos,R.E.H.S. <br /> UNIFIED ROGRAM HAZARDOUS WASTE INSPECTION REPORT <br /> Facility Name <br /> Address &/ <br /> city State CA- Zip Code <br /> EPA I.D.Number Z� Industry Type rCbe ,e <br /> I I >I Title- Z <br /> Facility Contact ' ( Phone Q.� <br /> _�.�T� � —� --�— <br /> Consent Given By Title l� <br /> Inspection Date(s) `� Inspection Type (circle) Routine ) Complaint Follow-Up <br /> REPRESENTATIVES PRESENT <br /> Name Title 0WA,5-yc Organization <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 violati ns 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) c1tmyou for Conti nuing/additional violations. Issuance of this Inspection Report does not preclude <br /> EHD from taking any administr2tive,civil or criminal action as a result of the violations noted. <br /> Environmental Health Speciali t ceived by Date <br /> 3/5/02 Page 1 of <br />