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ENVIRONMENTAL HEALTH DEPARTMENT <br /> SAN JOAQUIN COUNTY Unit Supervisors <br /> aP - c Carl Borgman,R.E.H.S. <br /> Donna l .Reran,R.E.xs' 304 East Heber Avenue, Third Floor Mike Huggins,R.E.H.S.,R.D.I. <br /> Director Douglas N.Nilson,R.E.H.S. <br /> At Olsen,R.E.xs. Stockton, California 96202-2708 <br /> Margaret Lagorio,R.E.H.S. <br /> �� :P• Program,b(anager Telephone: (209) 468-3420 Robert McClellan,R.E.H.S. <br /> • C4cic"oa`'� Laurie A.Cotulia,R.E.H.S. Fax: (209) 464-0138 Mark Barcellos,R.E.H.S. <br /> Program Manager <br /> UNIFIED PROGRAM HAZARDOUS WASTE INSPECTION REPORT 1 <br /> N0 U to to-'h <br /> Facility Name <br /> Address `' 'e W <br /> r,la7n State CA Zip Code <br /> City �1 �JSZ03 <br /> ry Type ,�� •1_ <br /> EPA I.D.Number �� n no 06 7V 49S� —Indust <br /> Facility Contact � ��� -n�A Title <br /> '��" <br /> Phone <br /> Title �/ <br /> Consent Given By I I <br /> Inspection Date(s) '7 Inspection Type (circle) Routin Complaint Follow-Up <br /> REPRESENTATIVES PRESENT <br /> Title Organization <br /> Name <br /> 1 T_ � I>�� e�ar o <br /> Ts reprt may identify <br /> e violations <br /> one or more <br /> ons of the <br /> Health and Safety Code o(HSC) or the California nditions observed this aCode ofy that eRegulattiions Title 22 (22fCCR) relating t tithe managementCalifornia <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 /> 17103 <br /> Received by Date <br /> E onmental alth Specialist <br /> Pagel of S� <br /> 3/5/02 <br />