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-- initialed by Da,.e <br /> F.TsVIROTNMENTAL HEALTtl DEPARTMENT <br /> SAN JOAQUIN COUNTY Unit Supervisors <br /> ........... Carl Borg-man,R.E.H.S. <br /> K.Reran,RX-H-S- Mike Huggins,R.E,H.S.,R.D.1, <br /> Ponr- 304 East Weber Avenue,Third Floor <br /> -A <br /> '-X Director -'1708 Douglas W.Wilson,R.E.H.S. <br /> ::. I Stockton, California 95202 Lagorio,R.E.H.S. <br /> Al 0,5cn,R.E.H.S. <br /> Program Afanager Telephone: (209) 468-3420 Marga, <br /> et R.E.H.S. <br /> Laurie A.Cotulla,RE.H.S. Fax-. (209) 464-0139 Robert McClelton,Mark Barcellos,R.E.H.S. <br /> Pr,)grC'?'Manager <br /> UNIFIED PROGRAM HAZARDOUS WASTE INSPECTION REPORT <br /> Facility Name .l� <br /> Add ress—l\-&k—�-- <br /> State CL Zip Code <br /> city <br /> EPA I.D.NUrnber !)4 _11ndustry Type <br /> Phone <br /> 7acility Contact T itle <br /> ConsentGiven-By -'R-�� <br /> At` Inspection Type (circle): omplaint Follow-Up <br /> inspect!on Date(s) <br /> REPRESENTATIVES PRESENT <br /> Title Organization <br /> Name <br /> This report may iulentifv conditions observed`this day that are alleged to be violations of one or more sections of the <br /> ; tions, Title 22 (22 CCR) relating to the management o <br /> Health and SafPj,,, Code (HSC) or the Cal forNa Code of Regu a e attached note sheets. After completing th'L <br /> haza'rdous waste. The violations may be described in .more detall on th <br /> evaluation of the information obtained during the inspection,you maybe informed of additional v*jolations� <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 /> ct these violations within the scheduled period provided may result in San Joaquin County Environment <br /> Failure to correct issuance of this Inspection Report does not preouc <br /> Health Department (EHID) citing you for continuingladditional violations. <br /> EHD from taking any administrative, civil or criminal action as a result of the violations noted. <br /> zl\�0 <br /> D <br /> el y ate <br /> 'iarlst <br /> 0%1 <br />