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ENVIRONMENTAL HEALTH DEPARTMENT <br />SAJOAQUIN COUNTY <br />Unit Supervisors <br />°G LT <br />Donna K. Heran R.E.H.S. Carl Borgman, R.E.H.S. <br />304 East Weber Avenue, Third Floor <br />me ' Director Mike Huggins, R.E.H.S., R.D.I. <br />AI Olsen, R.E.H.S.Stockton, California 95202-2708 <br />Douglas W. Wilson, R.E.H.S. <br />••. �P • Program Manager Telephone: (209) 468-3420 Margaret Lagorio, R.E.H.S. <br />Quik -0: Laurie A. Cotulla, R.E.H.S. <br />Fax: (209) 46.4-0138 Robert McClellon, R.E.H.S. <br />Program Manager Mark Barcellos, R.E.H.S. <br />UNIFIED PROGRAM HAZARDOUS WASTE INSPECTION REPORT <br />Facility Name CGS CV or 1IV G <br />Address t-51 C. AV C <br />City L. D State CA - Zip Code 1 5 Z�D <br />EPA I.D.Number1.GDD 1 q51 IndustryType <br />Facility Contact ??Pb Title i ` 1� SAX �► SDr Phone <br />Ll <br />Consent Given By <br />Title <br />Inspection Date(s) i— c1 — V Inspection Type (circle): Routi Complaint Follow -Up <br />Name <br />link Pcb&,- t/ <br />9— <br />'At <br />LPN. 11 <br />REPRESENTATIVES PRESENT <br />Title <br />Organization <br />STL6 HD <br />ScTCe4C> <br />CvnGr-cJL L N 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 />Received by Date <br />Environmental Health Specialist <br />Page 1 of <br />J <br />3/5/02 <br />