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ENVIRONMENTAL HEALTH DEPARTMENT <br /> SAN JOAQUIN COUNTY Unit Supervisors <br /> Donna K.Heron,R.E.H.S. 304 East Weber Avenue, Third Floor Carl Borgman,R.E.H.S. <br /> DirectorMike Huggins,R.E.H.S.,R.D.I. <br /> Al Olsen,RE.H.S. Stockton, California 95202-2708 Douglas W.Wilson,R.E.H.S. <br /> • �.. i• Program Manager Telephone: (209) 468-3420 Margaret Lagorio,R.E.H.S. <br /> Robert McClellon,R.E.H.S. <br /> i�/F OPS` Laurie A.Cotulla,R.E.H.S. <br /> Fax: (209) 464-0138 Mark Barceilos,R.E.H.S. <br /> Program Manager <br /> UNIFIED PROGRAM HAZARDOUS WASTE INSPECTION REPORT <br /> Facility Name <br /> Address <br /> State CA Zip Code <br /> city <br /> d ef' <br /> EPA I.D.Number <br /> IndustryType �SZifl <br /> Facility Contact-;:� -J 1n �qnj -Title n /AgV== Phon <br /> Consent Given By �z Title <br /> Inspection Date(s) ' � , =Z.Inspection Type (circle): outi Complaint Follow-Up <br /> REPRESENTATIVES PRESENT <br /> Ngme Title Organization <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. P <br /> If any violations are noted,the facility is required to submit a signed Certification of Return to Compliance within A& <br /> days, unless otherwise specified (A certification forth 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 /> Avlron#�ental & <br /> Specia ist aceive� y <br /> Page 1 of-5-7 <br /> 3/5/02 <br />