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ENVIRONMENTAL HEALTH DEPARTMENT <br /> ppp,N SAN JOAQUIN COUNTY <br /> Donna h ticran,R.E.Fl.S. Ultils"p <br /> 304 East Weber Avenue, Third Floor Carl BonLn,m a r.PI.S. <br /> Du etrn' <br /> � i•� Milo Ilu R f IIS..8.111. <br /> _ r AI olsr„ a r.ns. Stockton, California 95202- 708 W Al <br /> Duu la,A4'_ iltinn kJ: I LR. <br /> roRN LauricA Cotulla,R.EAI.S. fCICI)hone: (_0046$-342U Nngarrt Lal,utio RII.iLS. <br /> Program Manger Fax: (209) 464-0]38 Robert McClelloa.RA ALS <br /> Mark Barcellos.R.E.I I.S. <br /> UNIFIED PROGRAM HAZARDOUS WASTE INSPECTION REPORT <br /> Facility Name _ 6Ar'01 S^'.' Al��� o <br /> Address g 2D S• SaCVM'Pr� Qb . # 3 , <br /> City L 17b ; State OA Zip Code !mac-110 13v, <br /> U <br /> EPA I.D.Number C11 - 00 � Industry Type A �vd� �epAfr� <br /> Facility Contact `off ��41R� Title: t-)V"''' Phone <br /> Consent Given By JCDY-1 QJ } Le—, Title PVA^e "' <br /> Inspection Date(s) Inspection Type (circle): outine Complaint Follow-Up <br /> REPRESENTATIVES PRESENT <br /> Name TitleOrganization <br /> Sr, 96t�S . C.5•� E, r�,D . <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 as a result of the violations?note <br /> Environmental Health Specialist Received by Date <br /> 3/5/02 Paget of S <br />