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ENTAL HEALTH DEPARTMENT <br /> ENVIRONMENTAL UIN COUNTY <br /> SAN JOAQ unit Supervisors <br /> PgU_IN. C Carl Borgrnan,R.E.H.S. <br /> G <br /> r.` �'' •?� Donna K.Heron,g.E.x.s. 304 East Weber Avenue,Third Floor Mike Huggins,R.E.H.S.,R.D.I. <br /> Director Douglas W.Wilson,R.E.H.S. <br /> Stockton, California 95202 2708 <br /> : Al Olsen,R.E.H.S. ( ) 468-3420 Margaret Lagorio,R.E.H.S. <br /> .P• Program Manager Telephone: 209 Robert McClellon,R.E.H.S. <br /> • cq�i-gb"0� Laurie A.Cotulla,R.E.H.S. Fax: (209) 464-0138 <br /> Mark Barcellos,R.E.H.S. <br /> Program blmmger <br /> UNIFIED PROGRAM HAZARDOUS WASTE INSPECTION REPORT <br /> Facility Name fi <br /> Address ti�q tl5AlJ>ers <br /> City �j}ac k-1 <br /> State C6-Zip Code �/ 70-7 <br /> Industry Type f�W <br /> EPA LD.Number� <br /> Facility Contact Q�c(ra� ,��ck2a'a Title.. <br /> .� Phone?A4 q 1 7- 9-0-0q <br /> - <br /> Facility <br /> Title \ \ <br /> Consent Given By <br /> C/( '� 03 Inspection Type (circle): Routine Complaint Follow-Up <br /> Inspection Date(s) <br /> REPRESENTATIVES PRESENT <br /> Title Organization <br /> Name NS PTSD I <br /> Regulations Title 22 (22 CCR) relating to the management of <br /> This report may identify conditions observed this day that are alleged to be violations of one or more sections of the Californiaee <br /> Health and Safety Code (HSC) or the California Code of Reg be informed a additional violations. <br /> hazardous waste. The violations may be described in more detail in the attached note sheets. After comp 9 <br /> evaluation of the information obtained during the inspection,you may <br /> If any violations are noted,the facility is required to submit a signed Certification of Return to Compliance within s] <br /> days,unless otherwise specified(A certification form is provided). result in San Joaquin county Environments <br /> Failure to correct these violations within the scheduled p <br /> el pr vided may p ort does not preclud <br /> Health Department(EHD)citing you for continuingladdit on al viol i ns. Issuance of this Inspection Rep <br /> EHD from taking any administrative,civil or criminal action as a r s It of the violations noted. <br /> Re ve Ab <br /> Date <br /> Epyi onmen ealth Specialist <br /> y <br /> Page 1 of <br /> 315102 <br />