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ENVIRONMENTAL HEALTH DEPARTMENT <br /> poU IN SAN JOAQUIN COUNTY Unit Supervisors <br /> Carl Borgman,R.E.H.S. <br /> Donna R.Heran,R.E. . . 304 East Weber Avenue, Third Floor <br /> r HSAueMike Huggins,R.E.H.S.,R.D.I. <br /> Director <br /> Stockton, California 95202-2708 Douglas N.Nilson,R.E.H.S. <br /> Al Olsen,R.E.H.S. Margaret Lagorio,R.E.H.S. <br /> Program Manager Telephone: (209) 468-3420 RobzRMcClellon,R.E.H.S. <br /> • c4CiFoa�` Laurie A.Cotulla,R.E.H.S. Fax: (209) 464-0138 <br /> Mark Barcellos,R.E.H.S. <br /> Program Manager <br /> UNIFIED PROGRAM HAZARDOUS WASTE INSPECTION REPORT <br /> Facility Name <br /> Address aill <br /> State C�Zip Code oCA <br /> City <br /> 00 Industry Type <br /> EPA I.D.Number a <br /> z c skot _ E� <br /> —Phone <br /> Facility Contact V �Sb,R d <br /> Title � ' > <br /> Consent Given By N <br /> .n �Lykrkt� Title V\P- <br /> Inspection Type (circle): outin Complaint Follow-Up <br /> Inspection Date(s) *<2`> <br /> REPRESENTATIVES PRESENT <br /> Title Or��zation <br /> Name <br /> S C!>r'��.ut]lo RAS l`AeC�.-mss K- <br /> This report may identify conditions observed this day that are alleged to be violations of one or more sections of the Californi <br /> ations, Title 22 (22 CCR) relating to the management c <br /> Health and Safety Code (HSC) or the California Code of Regul <br /> haza-rdous wast . Themay be described in.more de <br /> evaluation of the informal olnl obtained during the inspection,you may be inform d of additional violations.tall On the attached note sheets. <br /> After completing t <br /> If any violations are noted,the facility is required to submit a signed Certification of Return to Compliance within f <br /> days,unless otherwise specified (A certification form is provided). <br /> titin you for cone sc /additional violations. Issuance result <br /> this Inspection Report does not preclu <br /> Failure to correct these violations within the scheduled period provided may result in San Joaquin County Environme <br /> Health Department(EHD) 9 Y <br /> EHD from taking any administrative,civil or criminal action as a result of the violations noted. <br /> En r Specialist <br /> eceived by Date <br /> Page I of 5. <br />