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ENVI ONMENTAL HEALTH DEPARTMENT <br /> Q <br /> SAN JOAUIN COUNTY <br /> - Unit Supervisors <br /> Donna K.He n,R.E.H.S. <br /> : 304 East Weber Avenue, Third Floor Carl Borgman,R.E.H.S. <br /> a. Dire for Mike Huggins,R.E.H.S.,R.D.I. <br /> Al Olsen, E.H.S.. Stockton, California 95202-2708• Douglas W.Wilson,R.E.H.S. <br /> • cq,� ..�v Program anager Telephone: (209) 468-3420 Margaret Lagorio,R.E.H.S. <br /> �i-g6. Laurie A.Cot Ila,R.E.H.S. Robert McClellon,R.E.H.S. <br /> Program tanager Fax: (209) 464-0138 <br /> Mark Barcellos,R.E.H.S. <br /> UNIFIED PROGRAM HAZARDOUS WASTE INSPECTION REPORT <br /> Facility Name <br /> Address l/ 3 zem <br /> City - 1`7*' State QA.. Zip Code 44 _31-_ <br /> EPA I.D.Number 2016*1'� Industry Type / <br /> Facility Contact MC116- S\c"GIU& Title. QP4 � Phone <br /> Consent Given By <br /> Title <br /> Inspection Date(s) 2� Inspection Type (circle): Routine Complaint Follow-Up <br /> REPRESENTATIVES PRESENT <br /> Name Title Organization <br /> This report may identify conditio s 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 violatio s may be described in more detail on the attached note sheets. After completing the <br /> evaluation of the information obt fined during the inspection,you may be informed of additional violations. <br /> If any violations are noted, th facility is required to submit a signed Certification of Return to Compliance within 60 <br /> days, unless otherwise specifi d (A certification form is provided). <br /> Failure to correct these violatio s within the scheduled period provided may result in San Joaquin County Environmental <br /> Health Department(EHD) citing ou for continuing/additional violations. Issuance of this Inspection Report does not preclude <br /> EHD from taking any administrat ve, civil or criminal action as result of the violations noted. <br /> S Y3-7 <br /> Environmental Health Specialist Received by Date <br /> 3/5/02 Page 1 of <br />