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ENVIRONMENTAL HEALTH DEPARTMENT <br /> SAN JOAQUIN COUNTY <br /> Unit Supervisors <br /> Donna K.Heran,R.E.H.S. Carl Borgman,R.E.H.S. <br /> 304 East Weber Avenue, Third Floor <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 /> • '�.: Program Manager Telephone: (209) 468-3420 Margaret Lagorio,R.E.H.S. <br /> 4�iFORa Laurie A.Cotulla,R.E.H.S. Robert McClellon,R.E.H.S. <br /> Program Manager Fax: (209) 464-0138 Mark Barcellos,R.E.H.S. <br /> UNIFIED PROGRAM HAZARDOUS WASTE INSPECTION REPORT <br /> Facility Name <br /> Address 13SS <br /> City � State CA..Zip Code 95 6 <br /> r <br /> Cit" Qct-7 �3`17 Industry Type��Y <br /> EPA I.D.Number <br /> Facility Contact \Ta�o <br /> Title- 7 t9,A Phone Zcq <br /> Consent Given By / o <br /> P Som T�+�.o -,A, Title �j. .�ro� <br /> Inspection Date(s) 7 ` 7 /a3 Inspection Type (circle):CToutin Complaint Follow-Up <br /> REPRESENTATIVES PRESENT <br /> Name <br /> Title HS Organization <br /> �-- � S� <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 v:ithin 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 /> V_-z-,L� <br /> Received by Date <br /> onment ealth Specialist <br /> Page 1 of <br /> 3/5/02 <br />