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• EALTH <br /> EENVIRONMENTAL H DEPARTMENT <br /> PpUIN SAN JOAQUIN COUNTY <br /> Unit Supervisors <br /> . -i Donna K.Heran,R.E.H.S.:"'r"'•! Carl Borgman,R.E.H.S. <br /> _ <br /> Director <br /> 304 East Weber Avenue, Third Floor Mike Huggins,R.E.H.S.,R.D.I. <br /> z• Al Olsen,R.E.xs. Stockton, California 95202-2708 Douglas W.Wilson, R.E.H.S. <br /> Program Manager Telephone: (209) 468-3420 Margaret Lagorio,R.E.H.S. <br /> 9 CiFoai' Laurie A.Cotulla,R.E.H.S. Robert McClellon,R.E.H.S. <br /> Program Manager Fax: (209) 464-0138 Mark Bareellos,R.E.H.S, <br /> UNIFIED PROGRAM HAZARDOUS WASTE INSPECTION REPORT <br /> Facility Name <br /> Address w <br /> City W'D\ State Ck Zip Code 3yD <br /> EPA I.D.Number <br /> r.r.aQ.z�t r� Industry Type �an:Yv — <br /> ��� S. e ?Title '" "a,E FaG.eaw � .Phone 'a3u"� <br /> Facility Contact " <br /> Consent Given By <br /> a Title �r>rscErx�ec, <br /> Inspection Dates)" ---- Inspection Type (circle): < Ro • Complaint ' Follow-UP <br /> REPRESENTATIVES PRESENT <br /> Title Organization <br /> Name �m <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 a result of the violations noted. <br /> n ' nm I H pecialist <br /> fied y Date 1 <br /> Page 1 of�S <br /> 3/5/02 <br />