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ENVIRONMENTAL HEALTH DEPARTMENT <br /> SAN JOAQUIN COUNTY Unit Supervisors <br /> Donna K.Heran,R.E.H.S. Carl Borgman,R.E.H.S. <br /> U): Director 304 East Weber Avenue, Third Floor Mike Huggins,R.E.H.S.,R.D.I. <br /> Al Olsen,R.E. .S. Stockton, California 95202-2708 Douglas W.Wilson,R.E.H.S. <br /> 209) 468-3420 Margaret Lagorio,R.E.H.S. <br /> Program Manager <br /> 6 Laurie A.Cotulla,I E.H.S. Telephone: Robert McClellon,R.E.H.S. <br /> Fax: (209) 464-0138 Mark Barcellos,R.E.H.S. <br /> Program Afana�er <br /> 0 1 <br /> UNIFIED P OGRAM HAZARDOUS WASTE INSPECTION REPORT <br /> Facility Name My . <br /> Address <br /> City State QA.Zip Code <br /> Industry Type <br /> EPA I.D.Number <br /> Facility Contact- Fad _e >Ckvldmt4-Title Phoned. q4s) <br /> Consent Given By Title <br /> Inspection Date(s) 2– 5 —inspection Type (circle): outin Complaint Follow-UP <br /> REPRESENTATIVES PRESENT <br /> Organization <br /> Nam Title <br /> 'W <br /> Ca-r— <br /> This report may identify condition 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 /> ,d (A certification form is provided). <br /> days, unless otherwise specifie <br /> Failure to correct these violations within the scheduled period providmay result in San Joaquin County Environmental <br /> Health Department(EHD)citingyou for continuingladditional violations.eid ssuance 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 /> c26-06 <br /> Environmental Health Specialist Rec ived by Date <br /> Page I of-� <br /> 3/5/02 <br />