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SEP 8 2003 12 : 11 FR 0562 3650199 TO 912154304665 P . 04/06 <br /> -I <br /> ALU4 DEPARTMENT <br /> ENvIRONMENTAE E <br /> cAN "OACI COUNTY U)IitStcper isors <br /> Carl Borgaun,RE.HS. <br /> o y��; vAu Third Floor <br /> Mike Huggins, <br /> Donna K reran,g,E.xs. 304 East Weber Avenue, Wilson,R.E.H.S. <br /> w..r- Director Stockton, California 95202-2708 Dough W- <br /> Al Olsen,RB•'as. 468-3420 Miargarct Laoorio,R.-E.H.S. <br /> Program�fanaaer Telephone: (209) Robctt McClellon,R-F-E.S. <br /> ' c.._. Fes; (209) 46 -0138 Mark Barceilos,R.E.H.S. <br /> 4 c F p ALaurie A.Cotulla,RE.H.S, <br /> Program Mana;er <br /> . UNIFIED <br /> PROGRAM HAZARDOUS WASTE INSPECTION REPORT <br /> Facility Name <br /> Address Zi Code �5 O <br /> State CA zip <br /> City Wo <br /> IndustryType <br /> EPA I.D_Number _ Phone �� <br /> r�Q <br /> Title <br /> Facility Contact Title <br /> Consent Given By o ,n Complaint Follow-UF <br /> Inspection Type (circle): <br /> Inspection Date(s) <br /> REPRESENTATIVES PRESENT <br /> Organization <br /> Title ,,�^?'� <br /> Name �cri'cs Qhs <br /> vs c� %s <br /> to be violations of one or more sectionsthe mahag al& <br /> This report may identify co <br /> nditions observed this day that are allegedrelating to letin! <br /> Code (HSC) or the California Code of Regulations. Title 22 (22 CCR violations- <br /> evaluation <br /> and'Safety a be described in.more detail on the ed of additional eels. ,After come <br /> hazardous waste. The violations may the inspection,you may be inform <br /> evaluation of the information obtained during <br /> Dance Witt <br /> fa is required to submit a signed Certification of Return to Comp• <br /> if any violations are noted,the f A Gertlfication form is provided). <br /> specified( Environ[ <br /> days,unless otherwise sp period provided may result in San Joaquin does not pr <br /> for continuingladditional violations. issuance� noted. <br /> is inspection Report <br /> Failure to correct these violations within the scheduled as a result of th <br /> Health Department(EHD)citing you <br /> EHD from taking any administrative,cNil or criminal ac�on <br /> . tD \ <br /> Date <br /> eceived by <br /> 1 e pecialist <br /> Envir n <br /> Page ( of 5 <br />