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i��N4Yr 13 11 1209948 1 MASONITE PAGE 01/0 <br />NOV 1 7 2004 <br />PFRMfiSE IRONMENTAL HEALTHDEPARTMENT <br />ENViRONi /SE <br />SAN JOAQUIN COUNTY <br />17110 Supervisors <br />aP4,U+,nr: fi <br />m; • ' '� <br />Ila. Horan, R.IE.H.S. <br />304 East Weber Avenue, Third OOT <br />Direceorke <br />Carl Borgman, it.E.H.5. <br />Huggins, R.Zs.H.S., <br />R.E.R.S. <br />. � e <br />� <br />Al Olsen, R- E_H.S. Stockton. California95202-2708 <br />Program Manager Telephone: (209) 468-3420 <br />po jglas W. Wilson. <br />Margaret LA orio, R.E.H.S. <br />R.E.H.S. <br />;a <br />{r FOPS. <br />Laurie A. Cotulla, 3;..X -HS- Fax•. (209) 464-0138 <br />Robes MoClellon. <br />Mark Sarcetlos, R.E.H.S. <br />Program Martager <br />UNIFIEb PROGRAM tiAi + w <br />Facility Name <br />a <br />Addres <br />s <br />City <br />r - • f <br />ConsentState CA_ Zjp Code <br />Fac7ility Contact itle, k-1 Phone <br />GivenBy <br />Inspection Date(s)♦.T Mme: <br />- • Type <br />WIN <br />Complaint Follow-U� <br />organization <br />of the C8111'O <br />leged <br />This report may identify conditions observed thCode of R legulo s, Tile 2 (22 COR) relating to he ma agement <br />Health and Safety Code (HSG) or the California <br />hazardous waste. The violations may be described in more detail on the attached note sheets. After completing <br />evaluation of the information obtained during the inspection, you may be inforrned of additional violations. <br />if any violations are rioted, the facility is required to submit a signed Certification of Return to Compliance withir <br />days, unless otherwise specified (A certification form is provided). <br />Failure to correct these violations within �t�t rtu�e2dditiauled nal v ®lationseriod �dlss ante of this Ertspectia Joaquin <br />Rep rt does mat precl <br />Health Department (EH[?}citing you for g/ <br />EHD from taking any administrative, evil or criminal action as a result of the violations noted. <br />315102 <br />Page 1 of <br />