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ENVIRONMENTAL HEALTH DEPARTMENT <br /> N <br /> SAN JOAQUIN COUNTY Unit Supervisors <br /> Donna K.Heran,R.E.H.S. Carl BorLmian,R.E.H.S. <br /> 304 East Weber Avenue, Third Floor <br /> Director Mik e Hu—ins,R.E.H.S.,R.D.I. <br /> Al Olsen,R.E.H.S. Stockton, California 95202-2708 <br /> Douglas W. Wilson,R.F. H.S. <br /> Prograin Manager Telephone: (209) 468-3420 Mi- <br /> orio,R.E.1 I.S. <br /> Margaret La <br /> FOR Laurie A.Cotulla,R.E.H.S. Fax: (209) 464-0 1 3)8 Robert NlcClellon,R.E.H.S. <br /> Program Manager Mark Barcellos,R.E.H.S. <br /> UNIFIED PROGRAM HAZARDOUS WASTE INSPECTION REPORT <br /> Facility Name <br /> Address_ <br /> City I UY t State QA Zip Code <br /> EPA I.D.Number - Industry Type U�awok_ � <br /> U i <br /> Facility ContactTitle S�vp Phone mri. quo. 5?00 <br /> Consent Given By �y-(4!5-0>o _Title <br /> Inspection Date(s) —Inspection Type (circle): (�outine Complaint Follow-Up <br /> REPRESENTATIVES PRESENT <br /> Name Title <br /> Organization <br /> (Z�� <br /> Dina CXaVj ( TCIIEWD � I Ina" <br /> U <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 result of the violations noted. <br /> Environmental Health Specialist Received by Date <br /> Page I of <br /> 3/5/02 <br />