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ENVIRONMENTAL H ALTH DEPARTMENT <br /> Pp U,IN C <br /> SAN JOAQUIN COUNTY UnitSupervisors <br /> Carl Borgman,R.E.H.S. <br /> �z Donna K.Heran,RE. .xs. 304 Bast Weber Avenue,Third Floor <br /> Mike Huggins,R.E.H.S.,R.D.I. <br /> Director <br /> Stockton, California 95202-2708 Dnngtas W.Wilson,R.E.H.S. <br /> Al Olsen,R.E.H.S. Margaret Lagorio,R.E.H.S. <br /> ,:p•• Program Manager Telephone: (209) 468-3420 Robert McClellon,R.E.H.S. <br /> • o42i o`'� Laurie A.Cotulla,RE.H.S. Fax: (209)404-0139Mark 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 LD.Number <br /> hone3 <br /> Facility Contact <br /> `� � Title tao►»ec.�vaa� �t -650\1 <br /> Consent Given By <br /> Ins ection Type (circle): In Complaint Follow-UI <br /> Inspection Date(s) �1�`e p <br /> REPRESENTATIVES PRESENT <br /> Title Organization <br /> Nameg <br /> r ..c�tA�lAlr - wF/�r�QvtJG 6NC>R. S�.is 0.�v��v�c s�1st�� <br /> to <br /> violations <br /> one or more <br /> tions of the Calif <br /> This report may identify conditions observed'oma Codhis day e of Rare egulattiiion , Title 22 (22fCCR) relating <br /> lacing to the comae enE <br /> Health and Safety Code (HSC) or the Ca <br /> tin <br /> hazardous waste. The violations may be described in more d ou maybeinform d of additional violations. <br /> evaluation of the information obtained during the inspection,y y Mance Witt <br /> If any violations are noted,the facility is required to submit a signed Certification of Return to Comp <br /> days,unless otherwise specified (A certification form is provided)- <br /> result in San Joaquin County Environs <br /> Failure to correct these violations within the scheduled period provided may <br /> Health Department(EHD)citing you for continuing/additional violations. Issuance of this Inspection Report does not pt <br /> EHD from taking any administrative,civil or criminal action as a result of a vil <br /> oations noted. <br /> 4j <br /> GJ 4 <br /> Date <br /> E Iron n I He p <br /> ecialist 41ve <br /> Page 1 of 5 <br /> �rsm2 <br />