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ENVIRONMENTAL HEALTH DEPARTMENT <br /> SAN JOAQUIN COUNTY <br /> Unit Supervisors <br /> Donna K. H <br /> E <br /> R <br /> Heran,R.E.H.S. Carl Borgman,R.E.H.S. <br /> Di ec 304 East Weber Avenue, Third Floor Mike Huggins,R.E.H.S.,R.D.I. <br /> AI Olsen,R.E.H.S. Stockton, California 95202-2708 Douglas W.Wilson, R.E.H.S. <br /> • �. Program Manager Telephone: (209) 468-3420 Margaret Lagorio,R.E.H.S. <br /> 'cicSA`' Laurie A.Cotulla,R.E.H.S. Fax: (209) 464-0138 Robert McClellan, <br /> Program Manager Mark Barcellos,R.E.H.S. <br /> UNIFIED PROGRAM HAZARDOUS WASTE INSPECTION REPORT <br /> Facility Name"[&4z-- <br /> Address <br /> 7 Address ;zu' <br /> City OD( p State CA- Zip Code <br /> �1SL� <br /> 'C-450 � 3 qj0 Industry Type AWIQ <br /> EPA I.D.Number <br /> Facility Contact /eflL2l;6! Title r6gy�� Phone/7��'c�' <br /> Consent Given By <br /> t' Title ,_ <br /> inspection Date(s)__q2i U Inspection Type (circle): outine Complaint Follow-Up <br /> REPRESENTATIVES PRESENT <br /> Name Title Organization <br /> lliv� r_0tzez� i�isLt� Lf/xn Gf�il'�� <br /> w <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 I spection Report does not preclude <br /> EHD from taking any administrative, <br /> �civil <br /> lor criminal action as a result of the violations d. <br /> Environmental Healt pec alist <br /> R &eiveby Date <br /> Page 1 of <br /> 315102 <br />