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ENVIRONMENTAL HEALTH DEPARTMENT <br /> SAN JOAQUIN COUNTY <br /> Unit Supervisors <br /> Donna K.Heran,R.E.H.S. Carl Bor an,R.E.H.S. <br /> N `2< 304 East Weber Avenue, Third Floor �' <br /> .N Director Mike Huggins,R.E.H.S.,R.D.I. <br /> Al Olsen,R.E.H.S. StoClCtori, 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 /> 9�iFOR� <br /> Laurie A.Cotulla,R.E.H.S. Fax: (209) 464-0138 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 <br /> City c ,� State -C.L Zip Code <br /> EPA I.D.Number Industry Type <br /> Facility Contact Title- Phone <br /> Consent Given By Title <br /> Inspection Date(s)1&Va_3_ <br /> Inspection Type (circle): outin Complaint Follow-Up <br /> REPRESENTATIVES PRESENT <br /> Name Title S Orgi iOn <br /> AW (Ld <br /> r, <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 violations noted. <br /> 3 �� <br /> JnvUiironmental Health Speciali Received by D to <br /> i <br /> 3/5/02 Page 1 of 5 <br />