Laserfiche WebLink
ENVI ONMENTAL HEALTH DEPARTMENT <br /> pPpU.IN C SAN JOAQUIN COUNTY <br /> �.• _�t'•.oG Unit Supervisors <br /> Donna K.Her in,R.E.H.S. Carl Borgman,R.E.H.S. <br /> Dire for 304 East Weber Avenue, Third Floor Mike Huggins,R.E.H.S.,R.D.1. <br /> "` `` ' '• Al Olsen,I Z.E.H.S. Stockton, California 95202-2708 Douglas W.Wilson,R.E.H.S. <br /> • �.'. Program onager Telephone: (209) 468-3420 Margaret Lagorio,R.E.H.S. <br /> '9��FORt� Laurie A.Cott Ila,R.E.H.S. Robert McCiellon,R.E.H.S. <br /> Program anagen Fax: (209) 464-0138 Mark Barcellos,R.E.H.S. <br /> UNIFIED PROGRAM HAZARDOUS WASTE INSPECTION REPORT <br /> Facility Name <br /> Address <br /> City `- State CL Zip Code <br /> EPA I.D.Number 00 Industry Type <br /> Facility Contact Title- ()WAISL Phone <br /> Consent Given By ell Title (11, <br /> Inspection Date(s) lo Inspection Type (circle): Routine Complaint Follow-Up <br /> REPRESENTATIVES PRESENT <br /> Name Title Organization <br /> ow <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 violati ns 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, ft e 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 violati ns within the scheduled period provided may result in San Joaquin County Environmental <br /> Health Department(EHD) citin 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 /> l Health SpecialistReceive <br /> EnvironmentalDate <br /> 3/5/02 Page 1 of <br />