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ENVIRONMENTAL HEALTH DEPARTMENT <br /> SAN JOAQUIN COUNTY <br /> j• „� •.oG Unit Supervisors <br /> Donna K.Heran,R.E.H.S, <br /> 304 East Weber Avenue, Third Floor cart Borgn,an,R.E.H.S. <br /> f L iu r .{ Director Mike Huggins,R.E.H.S.,R.D.I. <br /> ll Al Olsen,R.E.H.S. Stockton, California 95202-2708 Douglas W.Wilson,R.E.H.S. <br /> • �.: Progr•arrr Manager Telep�}hone: (209) 468-3420 Margaret Lagorio.R.E.H.S. <br /> q�,FO.Rtj i' <br /> Laurie A.tvotulla,R.E.H.S. Fax: (209) 464-0138 Robert McClellon,R.E.H.S. <br /> Program Manager Mark Sarcellos,R.E.H.S. <br /> UNIFIED PROGRAM HAZARDOUS WASTE INSPECTION REPORT <br /> Facility Name fD <br /> Address <br /> City State QA Zip Code <br /> EPA I.D.Number�("- ��1� Industry Type A2'_D <br /> Facility Contact pf Titley a Phone ' v <br /> Consent Given By Title <br /> inspection Date(s) ?� Inspection Type (circle): <br /> <;� Complaint Follow-Up <br /> REPRESENTATIVES PRESENT <br /> Name Title Organization <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 Vic o <br /> ' n Issuance of this Inspection Report does not preclude <br /> EHD from taking any administrative, civil or criminal action as a r as+ f the violations noted. <br /> 4EnronmOnXtal Health Specialist Re �by <br /> 4Dae <br /> 315102 Page 1 of <br />