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ENVIRONMENTAL HEALTH DEPARTMENT <br /> SAN JOAQUIN COUNTY <br /> �.• _,,,�'••:G Unit Siepervisors <br /> Donna K.Neran,R.E.H.S. Carl Borgman,R.E.H.S. <br /> ;2 <br /> 304 East Weber Avenue, Third Floor <br /> U): Director <br /> ..f1;,;i'' . ,7r Mike Huggins,R.E.H.S.,R.D.I. <br /> Al Olsen,R.E.H.S. Stockton, California 95202-2708 Douglas W.Wilson,R.E.H.S. <br /> • e. — Vic:• Manager <br /> q Telephone: (209) 468-3420 M <br /> Program argaret Lagorio,R.E.H.S. <br /> 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 , 3�c� WA �e_r ly v R tD <br /> City <br /> �-t�►� State_QA..Zip Code Zd S <br /> F6,L> <br /> EPA I.D.Number Industry Type Anh <br /> Facility Contact D� Title 2 Phone Iq62 — L1561 <br /> Consent Given By Title SA <br /> InspectionDate(s) �blnspection Type (circle): Routine Complaint Follow-Up <br /> REPRESENTATIVES PRESENT <br /> Name Title Organization <br /> � I FGA- 15�S 's jr <br /> f.,,7 FAS T <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 violatio s noted. <br /> Environmental Health Specialist Received b Date <br /> Page 1 of <br /> 3/5/02 <br />