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• <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> ' SAN JOAQUIN COUNTY <br /> s.• _� .•,gG Unit Supervisors <br /> Donna K.Heran,R.E.H.S. Carl Borgman,R.E.H.S. <br /> mi < Director 304 East Weber Avenue, Third Floor Mike Huggins,R.E.H.S.,R.D.I. <br /> Al Olsen,R.E.H.S. Stockton, California 95202-2708 Douglas M.Nilson,R.E.H.S. <br /> 'P Program Manager Telephone: (209) 468-3420 Margaret Lagorio,R.E.H.S. <br /> ogCi F 6' Laurie A.Cotulla,R.E.H.S. Robert McClellon,R.E.H.S. <br /> Program ManagerFax: (209) 464-0138 Mark Barcellos,R.E.H.S. <br /> UNIFIED PROGRAM HAZARDOUS WASTE INSPECTION REPORT <br /> Facility Name <br /> Address I <br /> State OA Zip Code <br /> City <br /> io r� <br /> EPA I.D.Number �-����- � Industry Type <br /> �'�(�ti'�� �'Y1iiri�l� e Te I'V�t�,� l�'le. Phone <br /> Facility Contact itl <br /> Consent Given By <br /> �"` Ins ection Type (circle): 'Routine )Complaint Follow-Up <br /> Inspection Date(s) p <br /> REPRESENTATIVES PRESENT <br /> Title Organization <br /> Name��� �e� Ic . t� <br /> Cv'LL�'1> <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 ed eof <br /> ee detail on the attached not ations, Title 22 (22 CCR) relating <br /> to the management of <br /> After completing the <br /> hazardous waste. The violations may be described <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 <br /> '�iolat ons eassuance of this nspectionJoaquin <br /> Report does not preclude <br /> Health Department(EHD)citing you for continuing/additional <br /> EHD from taking any administrative,civil or criminal action as a result of the violations noted. <br /> IJ, <br /> Date <br /> Environmental Health Specialist Receive by <br /> Page 1 of <br /> 3/5/02 <br />