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ENVIRONMENTAL HEALTH DEPARTMENT <br /> SAN JOAQUIN COUNTY <br /> Unit Supervicocs <br /> S <br /> H <br /> E <br /> K.Heran,R <br /> Donna K . . . . Carl Borgnnn R FJ I.n_ <br /> _ Director. 304 East Weber Avenue, Third Floor Mike iluLms R r n S . R.lzi. <br /> At Olsen,R.E.WS Stockton, California 95202-2708 Do„ I s�v. Nilson R.r_K, <br /> _ p Progrnn,.t4anal Telephone: (209) 468-3420 n-tir_aiu L i�oiio. It l_u 5. <br /> 9Cl'c oaf Laurie A.Cotulla,R.E.H.S. Ro6crt McClrllon,R.I'.I.S. <br /> Program Manager Fax: (209) 464-0138 iM,ttk B,rccllos,Rt.,IIS- <br /> UNIFIED PROGRAM HAZARDOUS WASTE INSPECTION REPORT <br /> Of- <br /> Facility Name <br /> Address IAJ <br /> City �i7�il$ State CA-Zip Code �75Zo7 <br /> � ��---1v-- <br /> EPA I.D.Numbea! __Industry Type <br /> Facility Contact �'� <br /> Title- T 4`'^D Phone ` 0 Z OJ_ <br /> Consent Given By / 'd Title �G i z <br /> Inspection Date(s) /077/6`( Inspection Type (circle): Routine Complain Follow-Up <br /> REPRESENTATIVES PRESENT <br /> Name Title Organization <br /> /21F/fS G 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 4Reudl <br /> of t e violations noted. <br /> ��v ronmental h Specialisteceivby Date <br /> Pagel of. <br /> 3/5/02 <br />