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COMPLIANCE INFO_PRE 2019
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2200 - Hazardous Waste Program
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PR0514417
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COMPLIANCE INFO_PRE 2019
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Entry Properties
Last modified
7/6/2020 2:21:39 PM
Creation date
6/23/2020 6:29:22 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2200 - Hazardous Waste Program
File Section
COMPLIANCE INFO
FileName_PostFix
PRE 2019
RECORD_ID
PR0514417
PE
2220
FACILITY_ID
FA0010784
FACILITY_NAME
SHAPE INC
STREET_NUMBER
119
STREET_NAME
VAL DERVIN
STREET_TYPE
PKWY
City
STOCKTON
Zip
95206
APN
19337008
CURRENT_STATUS
01
SITE_LOCATION
119 VAL DERVIN PKWY # 2
QC Status
Approved
Scanner
KBlackwell
Supplemental fields
FilePath
\MIGRATIONS\HW\HW_2220_PR0529941_30092 E ORANGE_.tif
Tags
EHD - Public
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ENVIRONMENTAL HEALTH DEPARTMENT <br /> SAN JOAQUIN COUNTY <br /> Unit Supervisors <br /> y ?j Donna K.Heran,R.E.H.S. 304 East Weber Avenue, Third Floor Carl Borgman,R.E.H.S. <br /> Director Mike Huggins,R.E.H.S.,R.D.I. <br /> Al Olsen,R.E.H.S. Stockton, California 95202-2708 Douglas W.Wilson,R.E.H.S. <br /> P• er ram Manager Pro <br /> • cqC FOR�� g g Telephone: (209) 468-3420 Margaret Lagorio,R.E.H.S. <br /> Laurie A.Cotulla,R.E.H.S. Fax: (209) 464-0138 Robert McClellon,R.E.H.S. <br /> Program Manager Mark Barcellos,R.E.H.S. <br /> UNIFIED PROGRAM HAZARDOUS WASTE INSPECTION REPORT <br /> Facility Name D + C P,41A� k!S <br /> Address I � 6 U N <br /> City S�0 L(4�0� State CL Zip Code <br /> P0 w er <br /> EPA I.D.Number Q k Industry Type <br /> Facility Contact Vc� f Mh' Phone Z " OL( Z 2 <br /> Consent Given By Title <br /> Inspection Date(s)l_ 6� 01, Inspection Type (circle): Routine Complaint Follow-Up <br /> REPRESENTATIVES PRESENT <br /> Name Title Ora ation <br /> Y <br /> c Iu /TJ V VI. N <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 Code of Regulations, Title 22 (22 CCR) relating to the management of <br /> hazardous waste. The violations may be described in more detail on the attached note sheets. After completing the <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 period provided may result in San Joaquin County Environmental <br /> Health Department(EHD)citing you for continuing/additional violations. Issuance of this Inspection Report does not preclude <br /> EHD from taking any administrative,civil or criminal action as a result of the violations noted. <br /> A!��� _��;�2__ 7 /Z -/G <br /> Environmental Health Specialist Received by Date <br /> 3/5/02 Page 1 of <br />
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