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ENVIRONMENTAL HEALTH DEPARTMENT <br /> Un it Supervisors <br /> 11,b SAN JOAQUIN COUNTY <br /> Donna K.Heran,R.E.H.S. Carl Borgman,R.E.H.S. <br /> 304 East Weber Avenue, Third Floor <br /> DirectorMike 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 /> Program Manager Telephone: (209) 468-3420 Margaret Lagorio,R.E.H.S. <br /> Laurie A.Cotufla,R.E.H.S. Fax: (209) 464-0138 Robert McClellan,R.E.H.S. <br /> Proggranz Manager Mark Barcellos,R.E.H.S. <br /> UNIFIED PROGRAM HAZARDOUS WASTE INSPECTION REPORT <br /> Facility Name <br /> Address <br /> City <br /> State CL Zip Code <br /> EPA I.D.Number 3i Industry Type '4't-o '56��p <br /> Facility Contact Title- —Phone <br /> Consent Given By Ice- —Title Qejg - <br /> Inspection Date(s) 311-7103 —inspection Type (circle): Routine Complaint Follow-Up <br /> REPRESENTATIVES PRESENT <br /> Name Title Organization <br /> Tqk,,t "ST C_ �1)D <br /> Mare <br /> are <br /> Cil, A� . <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 /> � nment _e`alth Specialist ec ed by Date <br /> 315102 Page 1 of <br />