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ENVIRONMENTAL HEALTH DEPARTMENT <br /> pU1N <br /> SAN JOAQUIN COUNTY UnitSupenisors <br /> Carl Borgman,R.E.H.S. <br /> Donna K.Heran,R.E.H.S. 304East Weber AVenlle,Th>rd Floor Mike Huggms,R.E.H.S.,R.D.I. <br /> a_'=i'i\ •�,< Director Douglas W.Wilson,R.E.H.S. <br /> 11 Stockton, California 95202 2708 <br /> -- Al Olsen,R.E.H.S. Margaret Lagono,R.E.H.S. <br /> Program Manager Telephone: (209) 468-3420 gobert McCielton,R.E.H.S. <br /> Fax: (209) 464-0138 MarkBarcellos,R.E.H.$. <br /> 'Qtikba`' Laurie A.Cotulla,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 /> IndustryType <br /> EPA I.D.Number phone ° �q�to <br /> Facility Contact <br /> Title ��• <br /> Consent Given By —�--- <br /> Type crcle ou In Complaint Follow-UI <br /> Inspection Date(s) <br /> �, v3 Inspection Typi. ( ) <br /> REPRESENTATIVES PRESENT <br /> Organization <br /> TitleL��4C7 <br /> Names -R 5�, JvcB <br /> relating to the of the Califf <br /> This report may identify conditions observed this day that are alleged to , violations of one or more sections of the C <br /> be described in .more detail on the attached note sheets. After completin <br /> Health and Safety Code (HSC) or the California Code of Regulations, Title 22 (22 CCR <br /> hazardous waste. The violations may you ma be informed of additional violations. <br /> evaluation of the information obtained during the inspection,y y fiance will <br /> If any violations are noted,the facility is required to submit a signed Certification of Return to Comp <br /> days, unless otherwise specified(A certification form is provided). Environ <br /> Failure to correct these violations within the scheduled period provided may result in San Joaquin County <br /> Health Department(EHD)citing you for continuing/additional violations. Issuance of this Inspection Report does not pr <br /> EHD from taking any administrative,civil or criminal action as a result of the violations noted. <br /> n/ <br /> D e <br /> /eeleddly <br /> En <br /> to tat a cialist <br /> page! of <br />