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ENVIRONMENTAL REALTt DEPARTMENT <br /> Q <br /> SAN JOAUIN COUNTY <br /> Unit Supervisors <br /> '. Donna K.Heran,R.E.H.S. Carl Borman,R.E.H.S. <br /> -' 304 East Weber Avenue, Third Floor a <br /> N. { Borg <br /> man, <br /> Mike Huggins,R.E.H.S.,R.D.1. <br /> `y Al Olsen,R.E.H.S. Stockton, California 95202-2708 <br /> • Douglas W.Nilson,R.E.H.S. <br /> • C4CIFORa�P P'og'am Manager Telephone: (209) 468-3420 Margaret Lagorio,R.E.H.S. <br /> Laurie A.Cotulla,R.E.H.S. Fax: (209) 464-01.38 Robert McClellon,R.E.H.S. <br /> Program Manager Mark Barcellos,R.E.H.S. <br /> UNIFIED PROGRAM HAZARDOUS WASTE INSPECTION REPORT <br /> Facility Name <br /> Address 500 "�"� - ti <br /> City State CA Zip Code <br /> EPA I.D.Number�'� k ) Industry Type#�-�. \\);—:7 <br /> Facility Contact "Sb0Title•'*A � = Phone %00�:O o <br /> Consent Given By Title <br /> inspection Date(s) 01 \ Inspection Type (circle): ou i Complaint Follow-Up <br /> REPRESENTATIVES PRESENT <br /> Name Title Organization <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 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)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 'iolations noted. <br /> En ' onm fal Health Specialist - Date <br /> 3/5/02 Page 1 of <br />