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ENVIRONMENTAL HEALTH DEPARTMENT <br />OPpUlfy C SAN JOAQUIN COUNT' <br />Unit Stipen,hsorS <br />Donna K. Heran, R.E.H.S. Carl Bor man, R.E.H.S. <br />304 East Weber Avenue, Third Floor g <br />w}y Director Mike Huaains, R.E.H.S., R.D.I. <br />Al Olsen, R.E.H.S. Stockton, California 95202-2708 <br />T%oDouglas W. Wilson, R.E.H.S. 9t�FORa�P Program Manager Telephone: (209) 468-3420 Margaret Lagorio. R.E.H.S. <br />Laurie A. Cotulla, R.E.H.S. Robert McClellon, R.E.H.S. <br />Program lVanager Fax: (209) 464-0138 <br />Mark Barcellos, R.E.H.S. <br />UNIFIED PROGRAM HAZARDOUS WASTE INSPECTION REPORT <br />Facility Name _rox�- <br />Address "-1cY2 S, 4 LA - <br />City J State OA Zip Code q53 (0 <br />EPA I.D.Number CAO C411 C 3L1 Industry Type <br />Facility Contact <br />M t V.Q_ Dwe-rN S <br />Title- EM f A04, MA"Ojt' Phone—5 1q <br />Consent Given By Pa•� 6 •eriD^'� Title se'fL'r- fl'oGzJS 6:5 <br />Inspection Date(s) 2 v Inspection Type (circle): Routine Complaint Follow -Up <br />REPRESENTATIVES PRESENT <br />Name Title organization <br />e, <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 />���- 6�a3�0 y <br />Environmental Health Sp cialist Received by Date <br />3/5/02 Page 1 of <br />