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ENVIRONMENTAL HEALTH DEPARTMENT <br /> SAN JOAQUIN COUNTY <br /> Unit Supervisors <br /> r.':: "'' `;'•2 Donna K.Heran,R.E.H.S. Carl Borgman,R.E.H.S. <br /> 304 East Weber Avenue, Third Floor <br /> N: < Director Mike Huggins,R.E.H.S.,R.D.I. <br /> ` Al Olsen,R.E.H.S. Stockton, California 95202-2708 <br /> Douglas W.Wilson,R.E.H.S. <br /> • 'C_; =�P• Program Manager Telephone: (209) 468-3420 Margaret Lagorio,R.E.H.S. <br /> W Laurie A.Cotulla,R.E.H.S. Robert McClellon,R.E.H.S. <br /> Program Manager FaX: (2O9) 464-0138 Mark Barcellos,R.E.H.S. <br /> UNIFIED PROGRAM HAZARDOUS WASTE INSPECTION REPORT <br /> Facility Name <br /> Address <br /> City 'Iclt�" State CA Zip Code <br /> EPA I.D.Number -0010\`Xa N��C6' Industry Type <br /> Facility Contact M\C\", Phone <br /> Consent Given ByTitle <br /> Inspection Date(s) - Inspection Type (circle): Gee Complaint Follow-Up <br /> REPRESENTATIVES PRESENT <br /> Name Title Organization <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 noted. <br /> �Vi�ron I� ecialist R eived by Date <br /> 3/5/02 Page 1 of �'� . <br />