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ENVIRONMENTAL HEALTH DEPARTMENT <br /> /1110::07__ SAN JOAQUIN COUNTY <br /> �,� .G Unit Supervisors <br /> Z'- ?� Donna K.Reran,R.E.H.S. Carl Borman,R,E.H.S. <br /> > 4i flr�ecro, 304 East Weber Avenue., Third Floor <br /> is Mike HuT ins. R.E.H.S.,R.D.I. <br /> Al Olsen, StocktonCalifornia 95202-27C}S <br /> sen,R.E.H.S. , I, <br /> Douglas W.W'ilsori, u. ,.II.S. <br /> • cQ :' Progr<att dlrrirage� 2 7 <br /> �rfio's� <br /> Telephone: (v09) ��7�-�-a-�l�} h4argarct Lacori��, R.E.H.S. <br /> Laurie A.Cotulla,R.E.H.S. Robert McClcllon, R.E.H.S. <br /> Program Manair c,j. Fax: (209) 464-0138 Mark Barcelios,R.E.H.S. <br /> UNIFIED PROGRAM HAZARDOUS WASTE INSPECTION REPORT <br /> Facility Name pF�} `_ _ V`�'Q �'Z_ r� <br /> Address L-t:7!i S - N't vj/-)�:l <br /> City J �`Z State ,L Zip Code 0r7 <br /> EPA I.D.Number C P�L 000D _N SC)t' Industry Type <br /> Facility Contact By � 12" 00 Title- Sery, C04� � 'hone <br /> Consent Given By 0 e) QU� Title � U <br /> Inspection Date(s) Inspection Type (circle): outinomplaint Follow-Up <br /> REPRESENTATIVES PRESENT <br /> Name Title f�f ,\r Organization r <br /> �. f r L 1 U , r U <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 (NSC) 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 continuingladditional 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 not d. <br /> .4 C:Z�— �<q <br /> 4nont; tal Health Specialist Received by Date <br /> r <br /> 315102 Page 1 of <br />