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z <br /> ENV RONMENTAL HEALTH DEPARTMENT <br /> SAN JOAQUIN COUNTY <br /> ?•• _�'.oG Unit Supervisors <br /> ?� Donna K.H ran,R.E.H.S. Third Floor Carl Borgman,R.E.H.S. <br /> Dir cror 304 East Weber Avenue, <br /> Mike Huggins, S.,R.D.I. <br /> Al Olsen R.E.H.S. Stockton, California 95202-2708 <br /> Douglas W.Wilson, <br /> R.E.H.S. <br /> c.• �'P Program Manager Telephone: (209) 468-3420 Margaret Lagorio,R.E.H.S. <br /> Laurie A.Co ulla,R.E.H.S. Fax: (209) 464-0138 Robert McClellon,R.E.H.S. <br /> Program Manager Mark Barcellos,R.E.H.S. <br /> UNIFIE PROGRAM HAZARDOUS WASTE INSPECTION REPORT <br /> Facility Name <br /> Address — <br /> City State OA Zip Code <br /> EPA I.D.Number Industry Typei7 /Z <br /> Facility ContactT6�yl 4� itle�l�.1/ PhonJ33 -62-,rq <br /> Consent Given By Title <br /> Inspection Date(s) Inspection Type (circle): outine Complaint FOIIOW-Up <br /> REPRESENTATIVES PRESENT <br /> N me Title Organization <br /> 4 � t�vs <br /> J <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, 0 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 violations 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 administrz tive, civil or criminal action as a result of the violations noted. <br /> ) 0 '��0�el — - "�/&//-Ao <br /> Environmenta ealth Specialis y Dat <br /> 3/5/02 Page 1 of <br />