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ENVIRONMENTAL HEALTH DEPARTMENT <br /> SAN JOAQUIN COUNTY <br /> �o._�•..eon Unit Supervisors <br /> Donna K.Heran,R.E.ELs' 304 East Weber Avenue, Third Floor Carl Borgman,ins,R. R.E.H.S. <br /> u: J1�t Director Mike Huggins,R.E.H.S.,R.D.1. <br /> 1�- =` '• Al Olsen,R.E.H.S. StOClCton, California 95202-2708 Douglas W.Nilson,R.E.H.S. <br /> • � _ ��P Program,tfanager Telephone: (209) 468-3420 Margaret Lagorio,R.E.H.S. <br /> FORIJ Laurie A.Cotulla,R.E.H.S. Robert McClellon,R.E.H.S. <br /> Proaram Manager Fax:.(209) 464-0138 Mark Barcellos,R.E.H.S. <br /> UNIFIED PROGRAM HAZARDOUS WASTE INSPECTION REPORT <br /> Facility Name (,� �Lc C� c ��S (�/1( �e h1C�� <l r l'1IzJ✓��•�1� o <br /> Address 51 L <br /> City ;,�5►1�� � State CA Zip Code <br /> EPA I.D.Number C �K UU ()q —1w Industry Type <br /> Facility Contact 1/1,11.4 I �� '_TitlePhone <br /> Consent Given By Title <br /> :f I Type (circle):Ins ection T e circe (F�ou�in) Complaint Follow-Up <br /> Inspection Date(s) P )' <br /> REPRESENTATIVES PRESENT <br /> Name Title Organization <br /> Ku <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 this Inspection Report does not preclude <br /> EHD from taking any administrative, civil or criminal action as a result of the violations oted. <br /> L 61, Date <br /> Environmental Health Specialist Rec ' ed by <br /> Page 1 of <br /> 3/5/02 <br />