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EI�ITAL HEALTH ]�)EP.A.RTI�EI�rI' <br /> ENVIRONMENTAL <br /> SAN JOA,QUIN COUNTY Unit Supervisors <br /> c Carl Borgman,R.E.H.S. <br /> a,.:...__.... o <br /> Mike Huggins,R.E.H.S.,R.D.I. <br /> Donna K.Heran,R.E.H.S. <br /> 304 East Weber Avenue,Thin Floor <br /> Director a 95202-2708 Douglas W.Wilson,R.E.H.S. <br /> 't Stockton, Californi <br /> Al Olsen,R.E.H.S. Margaret Lagorio,R.E.H.S. <br /> Tele hone: (209) 468-3420 <br /> •P• Program Manager P Robert McClellon,R.E.H.S. <br /> . • }; Fax: (2,09) 464-0138 Mark Barcellos,R.E.H.S. <br /> QLiFba�' Laurie A.Cotulla,RE.H.S. <br /> Program Manager <br /> UNIFIED PROGRAM HAZARDOUS WASTE INSPECTION REPORT <br /> Facility Name <br /> Address Cbl S• Srt T-v� <br /> State CA Zip Code C�5 <br /> City � <br /> Industry Type <br /> W� <br /> EPA I.D.Number ' <br /> Ga- ...Phone <br /> Facility Contact Via= <br /> Title <br /> Consent Given By <br /> ) <br /> Inspection Dates) <br /> Inspection Type (circle): outine Complaint Follow-UE <br /> REPRESENTATIVES PRESENT <br /> . Organization <br /> Title `,5cmx? -- <br /> Name �, <br /> that are alleged to be violations of one or more tin sections of the mE <br /> This report may identify alif <br /> conditions observed this day letin <br /> Safe Code (HSC) or the California Code oRegulations.etail on the attached note sheets <br /> .After comp <br /> Health and safety be described in <br /> the inspection,you may be informed of additional violations. <br /> hazardous waste. The violations may <br /> evaluation of the information obtained during lance witl <br /> noted,the facility is required to submit a signed Certification of Return to Compi <br /> If any violations are n , <br /> days,unless otherwise specified(A certification form is provided). Envuon� <br /> per <br /> provided may result in San Joaquin county oes not pr <br /> Failure to correct these violations within the scheduled P violations noted. <br /> Health Department EHD)citing you for continuing/additional violations. Issuance of this Inspection Rep <br /> EHD from taking any administrative,civil or criminal action as a result of e <br /> 4 <br /> 410-13 <br /> Date <br /> 4inviln <br /> a ea ecialist <br /> /LReceived by <br /> Page i ofd' • <br />