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7;7- <br />F: 0 9 <br />;7Fp9 <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />OUIN <br />c4. <br />SAN JOAQUIN COUNTY <br />Donna K. Heran, R.E.H.S. 304 East `Veber Avenue, Third Floor <br />Director Stockton, California 95202-2708 <br />Al Olsen, R.E.H.S. <br />Program Manager Telephone: (209) 468-3420 <br />Laurie A. Cotulla, R.E.H.S. Fax: (209) 464-0138 <br />Program Manager <br />Unit Supervisors <br />Carl Borgman, R.E.H.S. <br />Mike Huggins, R.E.H.S., R.D.I. <br />Douglas N. Nilson, R.E.H.S. <br />Margaret Lagorio, R.E.H.S. <br />Robert McClellon, R.E.H.S. <br />Mark Barcellos, R.E.H.S. <br />UNIFIED PROGRAM HAZARDOUS WASTE INSPECTION REPORT <br />Facility Name v v <br />Address v _ <br />State CIA -Zip Code G% S- <br />City Z / <br />EPA I.D.Number <br />Industry Typed <br />PTitle Phone <br />Facility Contact fin—�""�1` <br />Title <br />Consent Given By <br />Inspection Date(s) <br />Nam <br />Inspection Type (circle) <br />REPRESENTATIVES PRESENT <br />Routine Complaint Follow -Up <br />Title Organiza <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 o` <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 6( <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 EnvironmentE <br />Health Department (EHD) citing you for continuing/additional violations. Issuance of this Inspection Report does not precludi <br />EHD from taking any administrative, civil or criminal action as a result of the violations noted. <br />E vi o ental Health Speci r <br />t Received by Date <br />Page 1 of <br />3/5/02 <br />