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TAL HEALTH DEPARTMENT <br /> ENVIRONMENTAL <br /> a�•�N SAN JOAQUIN COUNTY UnitStipervisors <br /> op... C <br /> �, _,,��••.oG Carl Borgman,R.E.H.S. <br /> Donna K.Heran,R.E.H.S. 3O4 East Weber Avenue, Third Floor Nuke Huggins,R.E.H.S.,R.D.I. <br /> < Director 7O8 <br /> " Stockton, California 95202-2 Douglas\V.Witson,R.E.H.S. <br /> Al Olsen,R.E.H.S. 7 Margaret Lagorio,R.E.H.S. <br /> _ P Program Manager Telephone: (209) 468-34_0 Robert McClellon,R.E.H.S. <br /> 0 <br /> 4Li FORS` Laurie A.Cotulla,R.E.H.S. Fax: 209 4640138 <br /> Fax: (209) - Mark Barcellos,R.E.H.S. <br /> Program/Manager <br /> UNIFIED PROGRAM HAZARDOUS WASTE INSPECTION REPORT <br /> Facility Name <br /> Address <br /> State CA Zip Code <br /> City <br /> Industry Type <br /> EPA I.D.Number <br /> Phone <br /> Facility Contact—" <br /> Title_ <br /> Consent Given By w <br /> inspection Dates) <br /> o Inspection Type (circle): outine Complaint Follow-Up <br /> REPRESENTATIVES PRESENT <br /> rr Title Organ�aati1or� <br /> Name, S,Y! Lu <br /> -------------- <br /> Regulations, Title 22 (22 CCR) relating to the management of <br /> ort may identify conditions observed this day that are allegedtobe violations of one or more sections of the California <br /> This rep Y <br /> Health and Safety Code (HSC) or the California Code of ore <br /> e attached <br /> hatard <br /> ous waste. The violations may be described in more detail on infohmed of additional violations.After completing the <br /> evaluation of the information obtained during the inspection,you may compliance within 6C <br /> If any violations are noted,the facility is required to submit bmit provide .ed Certification of Return to <br /> days, unless otherwise specified (A certification form p Environments <br /> Tonal violations. Issuance of this Inspection Report does not preclud, <br /> Health Department(EHD)citing you for continuing/a <br /> Failure to correct these violations within the scheduulled period provided may result in San Joaquin County <br /> EHD from taking any administrative,civil or criminal action as a result of the violations noted. <br /> 1 <br /> Received by <br /> VD <br /> Environmental Health Spe, ialist <br /> Page 1 of• <br /> 3/5/02 <br />