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ENVIRONMENTAL HEALTH DEPARTMENT <br /> PpU1N SAN JOAQUIN COUNTY <br /> Unit Supervisors <br /> Donna K.Heran,R.E.H.S. Carl Borgman,R.E.H.S. <br /> y " < Director 304 East Weber AVenUe, Third Floor Mike Huggins,R.E.H.S.,R.D.I. <br /> Al Olsen,R.E.H.S. Stockton, California 95202-2708 Douglas W.Wilson.R.E.H.S. <br /> • �,' s.'p• Program Manager Telephone: (209) 468-3420 Margaret Lagorio,R.E.H.S. <br /> V�r F O Ra Laurie A.Cotulla,R.E.H.S. Robert McClellon,R.E.H.S. <br /> Program Manager <br /> Fax: (209) 464-0138 Mark Barcellos,R.E.H.S. <br /> UNIFIED PROGRAM HAZARDOUS WASTE INSPECTION REPORT <br /> Facility Name <br /> Address ` vo <br /> City VPP State CA Zip Code <br /> EPA I.D.Number ZA-+- E� �'� Industry Type t. .►�. <br /> Facility Contact <br /> n•Us tt � Title rJ=•-�� Phone <br /> Consent Given By Q, Title__ <br /> Inspection Date(s) 0.I�,o`�t Inspection Type (circle): outine Complaint Follow-Up <br /> REPRESENTATIVES PRESENT <br /> Title Organization <br /> Name az <br /> This report may identify conditions observed this day that are alleged to be violations of one or more sections of the Californi <br /> Health and Safety Code (HSC) or the California Code of Regulations, Title 22 (22 CCR) relating to the management c <br /> hazardous waste. The violations may be described in more detail on the attached note sheets. After completing th <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 6 <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 Environment <br /> Health Department(EHD) citing you for continuing/additional violations. Issuance of this Inspection Report does not precluc <br /> EHD from taking any administrative, civil or criminal action as a result of vi tions noted. <br /> ' Da <br /> Envir n tal ea�pecialt�st ecIved by <br /> Page 1 of <br /> 3/5/02 <br />