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ENVIRONMENTAL HEALTH DEPARTMENT <br /> pG.U.fN C SAN JOAQUIN COUNTY Unit Supervises <br /> _Donna K.rieran,R.E.H.S. Carl Bergman. .H. H S <br /> 304 East Weber Avenue, Third Floor Mike Huggins,R E.H S.R D.I. <br /> 0:; < - Director Douglas Rr.N,Lon.R E.I I.S. <br /> �I arse,,,R.E.Hs. Stockton, California 95202-2708 <br /> Prn ram Manager Tele hone: (209) 468-3420 Marg;vci Lagorio.R.L.I I S. <br /> • c9�icba`')c Laurie A.Corolla,R.E.H.S, p Robert McClellan.R.LH.S. <br /> Fax: (209) 464-0138 Mark Barcellos.RIM S. <br /> Program Manager <br /> UNIFIED PROGRAM HAZARDOUS WASTE INSPECTION REPORT <br /> Facility Name <br /> Address <br /> j—�C )S N State �Zip Code C?S 7i� 7r <br /> City <br /> C�Il. 00nzegsa3 Industry Type LAA/i1ANuFQc7i► R <br /> EPA I.D.Number vT? / <br /> Facility Contact <br /> -r~n 4r gfj N Title- Phone 4`/6 020/ <br /> Consent Given By <br /> Inspection Date(s) 1 1 T J�D� —Inspection Type (circle): ouUn Complaint Follow Up <br /> REPRESENTATIVES PRESENT <br /> Title1 <br /> , Organization <br /> Tnu nl TRCK � A) KEPIS c—rC <I.1 i� <br /> T1F7 n Z-,41?r. tc SuBSf'An 5GI£AlIf�01r <br /> ,t,/Fpr�p <br /> rPe 6aSsnan D'd•`R'� --7�— tiLC,s�cO <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 /> bed in more detail on the attached note sheets. After completing the <br /> hazardous waste. The violations may be descri <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 asr ul the violations noted. <br /> vironm I Heavri Specialist <br /> - , eceived by Date <br /> Page i of.S <br /> 315102 <br />