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ENVIRONMENTAL HEALTH DEPARTMENT <br /> SAN JOAQUIN COUNTY �,,f,t S,,per,,,.ors <br /> ..oG <br /> Donna N K. Reran,R.E.H.S. 304 East Weber Avenue, Third Floor Caro Bargman,R.E.H.S. <br /> Director Mike Huggins,R.E.H.S.,R.D.I. <br /> Al Olsen,R.E.H.S. Stockton, California 95202-2708 <br /> .• Douglas W.Filson,R.E.H.S. <br /> • rQ. .P <br /> Program 3Vunnger Telephone: (2.09) 468-3420 Margaret Lagorio,R.E.H.S. <br /> ci g 6'1i4 Laurie A.Cotulla,R.E.H.S. Robert McCleilon,R.E.H.S. <br /> Program.1Lfanager Fax: (209) 464-0138 Mark Barcellos,R.E.H.S. <br /> UNIFIED PROGRAM HAZARDOUS WASTE INSPECTION REPORT <br /> Facility Name af_ e4_ <br /> Address <br /> City t ' C = State CL Zip Code <br /> EPA I.D.Number Industry Type ` " :L_ ��L <br /> Facility Contact Title- l 11' !K6( Phone r (—C( <br /> Consent Given By <br /> Inspection Dates) Inspection Type (circle): Routine; Complaint Follow-Up <br /> REPRESENTATIVES PRESENT <br /> Ne Title Organizatio <br /> m,4 1 ;� 4 <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 noted. <br /> 4 1 C1 2 <br /> Environmental Health p ialist Received byy Da <br /> 3f5102 <br /> Page 1 of <br />