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ENVIRONMENTAL HEALTH DEPARTMENT <br /> SAN JOAQUIN COUNTY <br /> a Unir SuP ervisors <br /> Donna K.Heran,R.E.H.S. Carl Bergman,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 N.Nilson,R.E.H.S. <br /> �.. P. Program Manager Telephone: (209) 468-342.0 Margaret Lagorio,R.E.H.S. <br /> Laurie A.Cotulla,R.E.H.S. FaX: (209) 464_0138 Robert McClellon,R.E.H.S. <br /> Program Manager Mark Barcellos,R.E.H.S. <br /> UNIFIED PROGRAM HAZARDOUS WASTE INSPECTION REPORT <br /> Facility Name <br /> Address rD Q q1� In IC I O 1✓IAY1Go 6,7d <br /> City <br /> J 1 uCt+5 i t State � Zip Code <br /> pp n- <br /> EPA I.D.Number 1 I/ Industry Type �Oa I�P�c�i✓�__ <br /> Facility Contact ��i � , �,,--Title' fel(�Yl� Phone <br /> Consent Given By -fC)VIA ") A Title LW i�� <br /> Inspection Date(s) to L3 Inspection Type (circle): Routine Complaint Follow-Up <br /> REPRESENTATIVES PRESENT <br /> Name rr,III Titled �/ cf, Organization <br /> r�.o?AD Ltz- <br /> This <br /> It'f sty _ �oa,t_ �U 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 noted. <br /> A CIA <br /> Environmental Health Spe&Alist <br /> Received by Date <br /> Page 1 of <br /> 3/5/02 <br />