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ENVIRONMENTAL HEALTH DEPARTMENT <br /> SAN JOAQUIN COUNTY Unit Supervisors <br /> Donna K.Heran,R.E.H.S. Carl Borgman,R.E.H.S. <br /> 304 East Weber Avenue,Third Floor <br /> a: < DirectorMike 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• Program Manager Telephone: (209) 468-3420 Margaret Lagorio,R.E.H.S. <br /> FORa Laurie A.Cotulla,RE.H.S. Robert McClellon,R.E.H.S. <br /> Program Manager <br /> Fax: (209) 464-0138 Mark Barcellos,R.E.H.S. <br /> UNIFIED PROGRAM HAZARDOUS WASTE INSPECTION REPORT <br /> Facility Name V )t <br /> Address <br /> �l 1 I '�awtD 'sk�,� <br /> City State CA Zip Code <br /> EPA I.D.Number d 3-TIndustry Type <br /> Facility Contact <br /> TitleT"l Phone <br /> Title c <br /> Consent Given By V 6 <br /> Inspection Date(s) Inspection Type (circle): outine taint Follow-Up <br /> REPRESENTATIVES PRESENT <br /> Title C Organiza�r} , <br /> Na 2G V / (Z�' f <br /> ons of the <br /> This report may identify conditions observed this day th <br /> e of Reare lgua� oed �s Title 22 (22e violations fCCR) relating toone or more tlthe managemle�tno <br /> Health and Safety Code (HSC) or the California Cod <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 6' <br /> days, unless otherwise specified (A certification form is provided). <br /> aq <br /> in County Environment, <br /> Failure to correct these violations within the schedulei oval I�iolation's elssuance of this nspemay result in San c onuReport does not preclud <br /> Health Department(EHD)citing you for continuing/add <br /> EHD from taking any administrative,civil or criminal action as a result of the viol ions noted. <br /> 1 <br /> L <br /> v on ntal Health Specia's <br /> Recreiv� b � D to <br /> Page 1 of <br /> 3/5/02 <br />