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ENVIRONMENTAL HEALTH DEPARTMENT <br /> oP4�IN SAN JOAQUIN COUNTY Unit Supervisors <br /> .oma <br /> Donna K.Heran,R.E.H.S. Carl Borgman,R.E.H.S. <br /> t Dbecror 304 East Weber Avenue, Third Floor Mike Huggins,R.E.H.S.,R.D.I. <br /> 2708 <br /> At Olsen,R.E.H.S. Stockton, California 95202- Douglas W.Wilson,R.E.H.S. <br /> Program Afanager Telephone: (209) 468-3420 Margaret Lagorio,R.E.H.S. <br /> 9r/c O'R� Robert McClellon,R.E.H.S. <br /> Laurie A.Cotulla,R.E.H.S. <br /> Fax: (209) 464-0138 Mark Barcellos,R.E.H.S. <br /> Program Manager <br /> /UNIFIED PROGRAM HAZARDOUS WASTE INSPECTION REPORT <br /> Facility Name <br /> Address _� 3 „� <br /> City – State CA Zip Code <br /> S,�/l�.r��- <br /> EPA I.D.Number Industry Type� A ' <br /> Facility Contact MwL\C. (9Lti1"JYL Phone WO( - 1 <br /> Consent Given By <br /> MGVLL M 7'-'^• Title_ <br /> inspection Date(s)— Inspection Type (circle): _ Routine Complaint Follow-Up <br /> REPRESENTATIVES PRESENT <br /> Title n Organization <br /> Nam / &7 5 <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 fr m taking any administrative, civil or criminal action as a result of the violations noted. <br /> Envonmen al Health Sp <br /> i <br /> ' list wed by Date <br /> Page t of. <br /> 3/5/02 <br />