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ENVIRONMENTAL HEALTH DEPARTMENT <br />Qqu i rr . <br />2 `,, : • e ¢�?� Donna K. Heran, R-E.H.S. <br />Director <br />- ` Al Olsen, R.E.H.S. <br />P • Program Manager <br />4{i oR� Laurie A. Cotul33, RE.H.S. <br />Program Manager <br />SAN JOAQUIN COUNTY <br />304 East Weber Avenue, Third Floor <br />Stockton, California 95202-2708 <br />Telephone: (209) 468-3420 <br />Fax: (209) 464-0138 <br />Unit Supervisors <br />Carl Borgman, R.E.H.S. <br />Mike Huggins, R.E.H.S., R.D.I. <br />T?ouglas W. Wilson, R.E.H.S. <br />Margaret Lagorio, R.E.H.S. <br />Robert McClellon, R.E.H.S. <br />Mark Barcellos, R.E.H.S. <br />UNIFIED PROGRAM HAZARDOUS WASTE INSPECTION REPORT <br />Facility Name <br />7 <br />Address <br />State Cd- Zip Code �cjjcty <br />City <br />Industry Type_ <br />EPA I.D.Number'�" <br />Facility <br />Contact ���.A`l Phone�63�'\�— <br />Consent Given By <br />Inspection Dates) <br />c Complaint Follow -Up <br />Inspection Type (circle): out! <br />Name <br />REPRESENTATIVES PRESENT <br />Organization <br />s Title 22 (22 CCR) relating to the management <br />may identify conditions observed this day that are allegedtobe violations of one or more sections of the Cali ori <br />This report Y or the California Code of Regulate , 41 <br />Health and Safety Cade {HSC) be described in .more detail on the attached note sheets. .After completing <br />hazardous waste. The violations may <br />evaluation of the information obtained during the inspection, you may be informed of additional violations. leance within <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). <br />suit in San Environme <br />Failure to correct these violations within the schuing addedonal violations, s Issuance of this Inspect onuReport does not p <br />red <br />Health Department (EHD) citing you for contmuengl <br />EHD from tang any administrative, civil or criminal action as a result of the violations noted, <br />taking <br />315102 <br />Page 'i of <br />