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ENVIRONMENTAL HEALTH DEPARTMENT <br /> SAN JOAQUIN COUNTY Unit Supervisors <br /> _�...o� <br /> Donna K.Heran,R.E.H.S. Carl Bergman,R. .H.S., S. <br /> m` < Director 304 East Weber Avenue, Thud Floor Mike Huggins,R.E.H.S.,R.D.I- <br /> i j- - Al Olsen,R.E.H.S. Stockton, California 95202-2708 Douglas W.Wilson,R.E.H.S. <br /> • <br /> Program Manager p ( ) g <br /> �.. �.. , g g Telephone: 209 468-3420 Margaret Clell o,R.E.H. . <br /> 9�i F i5w Laurie A.Cotulla,R.E.H.S. Robert McClellon,R.E.H.S. <br /> Program Manager Fax: (209) 464-0138 Mark Barcellos,R.E.H.S. <br /> UNIFIED PROGRAM HAZARDOUS WASTE INSPECTION REPORT <br /> Facility Name <br /> Address 200ti7 ZvttNrO �Q°`� <br /> City W10\ State CA Zip Code <br /> EPA I.D.Number C�` �3`�t�l�� Industry Type <br /> Facility Contact s &CV-7 S "" Title �`� � '`�O ' EN-Phone 'a3u"��'� <br /> Consent Given By <br /> inspection Date(s)" Inspection Type (circle): <SComplaint 'FQIIOW-Up <br /> REPRESENTATIVES PRESENT <br /> Name Title Organization <br /> SeN\0g— ¢rdtiS tcsc'�k� — <br /> �^ �E 4y-�.�c�fio...•a�G•� Cry-,...,tz s. .s.wS <br /> wAt;� �• ' o.� <br /> This report may identify conditions observed this day that are alleged to be violations of one or more sections of the California <br /> e <br /> Health and Safety Code (HSC) or the California Code of Regulations, Title 22 (22 CCR) relating to the managment 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 /> l.o O <br /> n ' nm I H �p.da�fist � <br /> *ced y Date <br /> Page 1 ofS <br /> 3/5/02 <br />