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ENVIRONMENTAL HEALTH DEPARTMENT <br /> SAN JOAQUIN COUNTY Unit Supervisors <br /> a Donna K.Heran,R.E.H.S. Carl Bergman,R.E.H.S. <br /> m`I < <br /> Director Mike East Weber Avenue, Third Floor Mike Huggins,R F.H.S.,R.D.I. <br /> l ' At Olsen,R.E.H.S. Stockton, California 95202-2708 Douglas w Wilson.R.E.H.S. <br /> oP Program Manager Telephone: (209) 468-342 Margaret Lagono.R.E.H.S. <br /> gci'doR`' Laurie A.Cotulla,R.E.H.S. Robert McClellon,R.E.H.S. <br /> Program Manager FaX: (209) 464-0138 - Mark Bareellos,R.E.H.S. <br /> UNIFIED PROGRAM HAZARDOUS WASTE INSPECTION REPORT <br /> Facility Name <br /> Address 14:b <br /> City ��� �/ State CA Zip Code�� <br /> EPALD.Number " �Z ��, Industry Type <br /> Facility Contact <br /> ,AfK 0AjAjXT Title i�!�.• fl6t— Phone <br /> Consent Given By <br /> C� Title y <br /> Inspection Date(s) Inspection Type (circle): outin Complaint Follow-Up <br /> REPRESENTATIVES PRESENT <br /> Name Title grganization n � <br /> know <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. uance of this Inspection Report does not preclude <br /> EHD from taking any administrative,civil or criminal action as a r of the_'olati ns noted. <br /> wt '<Z' ^ Date <br /> Environmental Health Specialist <br /> Receive <br /> Page 1 of ' <br /> 3/5/02 <br />