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ENVIRONMENTAL HEALTH DEPARTMENT <br /> SAN JOAQUIN COUNTY <br /> Unit Supervisors <br /> Donna K.Heran,R.E.H.S. Carl Borgman,R.E.H.S. <br /> mi < Director 304 East Weber Avenue, Third Floor Mike Hu.—ins,R.E.H.S.,R.D.I. <br /> At Olsen,R.E.H.S. Stockton, California 95202-2708 Douglas W.Wilson,R.E.H.S. <br /> Program Manager g Telephone: (209) 468-3420 Margaret Lagorio,R.E.H.S. <br /> • CS �_�\p <br /> tf coa Laurie A.Cotulla,R.E.H.S. Robert McClellon.R.E.H.S. <br /> Program Manager Fax: (209) 464-0138 Mark Barcellos,R.E.H.S. <br /> UNIFIED PROGRAM HAZARDOUS WASTE INSPECTION REPORT <br /> Facility Name 6` \b live v( <br /> Address u0c W 1,Dc ke (ara <br /> City <br /> State CA-Zip Code 6 2 q O <br /> EPA I.D.Number �'I�I� U 1)0 C> Industry Type 1\Vw V 9tj a i r <br /> Facility Contact Title• �1 ^' Phone�I 33S q 1 la <br /> I <br /> Consent Given By Title <br /> Inspection Date(s) ( 9-6 T14 Inspection Type (circle): Rou ne Complaint Follow-Up <br /> REPRESENTATIVES PRESENT <br /> Name TitleOrganization <br /> '0 <br /> IT�IYI� a SSC tWD <br /> CareX tr f7t�Y t t3' t� (ivc vi c C <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 /> `i (�� Date <br /> � � G z1 D <br /> Environmental Health Specialist /ecedvedby <br />