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ENVIRONMENTAL HEALTI#ODEPARTMENT <br /> Pa N SAN JOAQUIN COUNTY Unit Supervisors <br /> )�_■C Co P <br /> Donna K.Heran,R.E.H.S. Carl Borgman,R.E.H.S. <br /> Director 304 East Weber Avenue,Third Floor 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 /> • c:,, �P• Program Manager Telephone: (209) 468-3420 Margaret Lagorio,R.E.H.S. <br /> FORa Laurie A.Cotulla,R.E.H.S. Robert McClellon,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 's-�F ' <br /> Address <br /> City State _QA Zip Code <br /> EPA I.D.Number Industry Type <br /> �'� <br /> °LCTitle Phone <br /> Facility Contact Q <br /> Consent Given By A4.1 <br /> Title <br /> Inspection Dates) Uj4_ __ Inspection Type (circle): F2ou i Complaint Follow-Up <br /> REPRESENTATIVES PRESENT <br /> Name Title Organization <br /> ia <br /> This report may identify conditions the e of Reguare getolationns Title 22 (22e violations fCCR) relating toone or more tthe ma agementof the nof <br /> Health and Safety Code (HSC) orr the California Cod <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 /> in County Environmental <br /> Failure to correct these violations within the scheduled Pat(od providmay result in San violations violations. of this nspectionuReport does not preclude <br /> Health Department(EHD)citing you for continung/additio <br /> EHD from taking any administrative,civil or criminal action as a result of the violation noted. <br /> O <br /> nvironmen al ea h Sp <br /> c ved by Dat <br /> ecialist <br /> Page 1 of 17 . <br /> 3/5/02 <br />