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ENVIRONMENTAL T p TA ENT <br /> AqV V .�� • V®� UC �NA <br /> Oa-t Eo:g=? .R!-:..L <br /> :.S. <br /> ]Tecan,g.E.i?S. �o�F—as All 1L' <br /> Third F]OOC <br /> 3St C :kcKE.F.S., <br /> 'r ug�'•ns, a�.T.. <br /> Directar SLOC:�CGII, Califoi'i_a 93202-27099 you"''S W",�riuor.,R <br /> pIIo20")46S-3420 ;�Ia-Bs�es Lze7ro,R.r.H.S. <br /> .� I ?rogram,y!creg:r 1 elep`► •. t Ro,c-b1�''.eltoa.R.e.H.S, <br /> Lsurie A Cotulin, Fax: (209)d,5-4-0138 <br /> Frogram <br /> UNIFIED PROGRAM HAZARDOUS w,IASTE INSPECTION REPORT <br /> r � 0 <br /> Facility Name <br /> iAddress � �•� -� <br /> State-QL Zip Code -- <br /> City <br /> industry Typa_ �o�p.�� `_ <br /> EPA I.D.Number <br /> � �-�JlTitle' - Phon= <br /> Facility Contact <br /> Consent Given By <br /> l...Xu� �� w �I Titla • <br /> Inspection Dates) <br /> �r - <br /> inspection Type (circle): Routi: Comrl.aint Eoilr`w-Up <br /> REPRESENTATIVES PRESENT <br /> Organ'IZation <br /> Title <br /> +e _ G <br /> Name � <br /> e t <br /> This reaart rray'►dant�ry c°ncioons observBd this day that are sl!eged to ba violakiors of one or more sections of the Ca.�ifo' <br /> 22 C^R refatir�g to the ms:�age:;ler. <br /> Health and Sar=.1 Code (HSG <br /> nr the Caifomia Code of Rec►1�`ons, Ti+3e 22 ( ? sheeL Nter corip,et;ng <br /> hazardous �lvaste. The Fviaaacrs m d e e i spa tion y�.0 np-y to informed d of addi;ona;vio:a`�ons: <br /> evaluation of the informs' ootaln d 9 <br /> an violations are noted,the facility is required to submit a signed Certification of Return to compliance withi <br /> if y <br /> days,unless otherwise specified(A certification form is Provided <br /> Failure to �rrect these vio'.ations within the scheduled period pro,Aded may resulIssuance t in San Jo_qu:n County >w�vironrt, <br /> Ne21.h[7epa`iment(EHE citing you for cortinuin^,/addif n a l aassutt of the v ol2tiars r,oted.p�c`�yn Report does not prey <br /> EHD from taking any administrative,civil or criminal a. <br /> --d 0' <br /> ` Data <br /> F-nv ronmen al Health Sp cial;st <br /> Rece�red by <br /> Page 1 of <br />