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ENVIRONMENTAL HEALTH DEPARTMENT <br /> ' SAN JOAQUIN COUNTY <br /> �o._�•..�oG Unit Supervisors <br /> Donna K.Heran,R.E.H.S. Carl Borgman,R.E.H.S. <br /> N: { 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 /> • �.. _ P Program Manager Telephone: (209) 468-3420 Margaret Lagorio,R.E.H.S. <br /> 9Ci FORS Laurie A.Cotulla,R.E.H.S. Robert McClellon,R.E.H.S. <br /> Program Manager Fax: (209) 464-0138 Mark Barcellos,R.E.H.S. <br /> UNIFIED PROGRAM HAZARDOUS WASTE INSPECTION REPORT <br /> Facility Name S Yl- 5 <br /> Address ���� ��V IVB <br /> State ,OA Zip Code <br /> City <br /> EPA I.D.Number Industry Type ('�O <br /> Facility Contact I►� �� �►�.�� l Title Cco <br /> �' C le ���c� �'1�St� Phone (�1� C 1 <br /> Consent Given By Title <br /> Inspection Date(s) C�J LZ ��.Inspection Type (circle): Routine Complaint Follow-Up <br /> REPRESENTATIVES PRESENT <br /> Name Titl? Organization <br /> � <br /> ll <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 violations n ed. <br /> 16tt-Irl4u Environmental Health Specialist <br /> ceived by %' Date <br /> Page 1 of <br /> 3/5/02 <br />