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ENVIRONMENTAL HEALTH DEPARTMENT <br /> SAN JOAQUIN COUNTY <br /> Unit Supervisors <br /> Donna K.Heran,R.E.H.S. Carl Bergman,R.E.H.S. <br /> Director <br /> 304 East Weber Avenue, Third Floor Mike Huggins,R.E.H.S..R.D.I. <br /> '�'- '" �'�`• Al Olsen,R.E.H.S. Stockton, California 9202-2708 Douglas N.Nilson,R.E.H.S. <br /> • C9 p Program Manager Telephone: (209) 468-3420 Margaret Laprio,R.E.H.S. <br /> cr poRN Laurie A.Cotulla,R.E.H.S. Fax: (209) 464-0138 RobertMcClellon,R.E.H.S. <br /> Program Manager Mark Barcellos,R.E.H.S. <br /> A\wa- �p u�.�oy .. <br /> UNIFIED PROGRAM HAZARDOUS WASTE INSPECTION REPORT <br /> Facility Name <br /> Address �'s�3g. Occ�a <br /> City State CA.Zip Code kayo <br /> EPAI.D.Number CP�O�7�\�°C7J��5 IndustryTypel�a� ��� <br /> Phone_2kg 3-`c <br /> Facility Contact — <br /> Consent Given By -Title Pis e�G�+ z <br /> Inspection Date(s) � C) 4 � `0� Inspection Type (circle): Routi omplaint Follow-Up <br /> REPRESENTATIVES PRESENT <br /> Name Title Organization <br /> I po.��l Lr�J S4z ¢�ttS SSC:el"t9 <br /> p vacs cQ:aa�lr� �so�voar as�S SSC.-'c!`.Q <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 res ul f the violations noted. <br /> 3 � <br /> *byn al alt Sp ialist <br /> �r�u» Page 1 of <br />