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Oct 03 02 11 : 45a AIr, 209 234 2711 p.4 <br /> DEpARTNIENT <br /> eulry. ' SAN JOAQUM COUNTYi. <br /> Unir Stmervisors <br /> z�u ° <br /> s`z Donna K.Haran,R.E.Hs' 304 East Weber Avenue, third Floor Carl Eorgr an iLE.H.S. <br /> Mike Huggins RE H.S.,RD.i. <br /> Director <br /> Al Olsen,R.£.HS. Stockton,California 95202-2708 Douglas W. -llson,RE.H.S. <br /> , t,;gip• Program Manager Telephone: (209)468-3420 Mar.+Yet LP ono ILE.H.S. <br /> a Fax: (209)464-0138 Robert McClellan,R.E.tts. <br /> GIFORr Laurieog CotMaAag£.H.S. Mark'HarcelldS.R.E-11& <br /> Program Manger - _ _ _ _ _ <br /> UNIFIED PROGRAM HAZARDOUS WASTE INSPECT"ON REPORT <br /> Facility NamepVDh1 <br /> Address <br /> State Com' Zip Code q5--'Db <br /> City <br /> EPA I.D.NiMber —IndustryType 'Q '* <br /> xa <br /> Facility Contact <br /> Consent Given By <br /> T< Title .. <br /> inspection. Dates) (N —inspection Type (circle): cutin Complaint Follow-Up <br /> REPRESENTATIVES PRESENT <br /> Title Organization <br /> Name ESD <br /> �j tin <br /> t09al3 it�'t '•� �-} .c�o_cn,_r-o �CS&i�C\st. l�C�� <br /> P�c� <br /> This <br /> Health and Safety Cod (HSC) orbserved this day that are alleged to be violations the California Code of Regu.I tions, Title 22 (22fone or more CCR) relating tor'ons of the the m nay menor t• <br /> hazardous waste. The violations may be described in.more detail an <br /> the attached note sheets. .After completing I <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 <br /> days,unless otherwise specified(Acertification form Is provided). <br /> may resut in San <br /> in County Environrria <br /> Failure to correct these violat on you foricontinu continuing/additional wblG onsn the scheduled period edlssuance of ih s nspect onuReport dces not pred <br /> Health Department(EHD)citing y <br /> EHD from taking any administrative,civil or criminal action as a re^ of the v Olaf ed. <br /> C.,I\W 01 <br /> � eceived y �" Da:e <br /> v ronra'� tai a �eciolist <br /> Page 1 of Q, . <br />