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May 23 02 02:20p Crp^tline shell 209 Qq6 8968 p.2 <br />� <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />SAN JOAQUIN COUNTY Unit Supervisors <br />Carl Borgman, R.E.H <br />Donna .S. <br />Da K. Heran, R.E.H.s. 304 East Weber Avenue, Third Floor <br />Mike Huggins, R.E.H.S., R.D.I. <br />Director California 95202-2708 Douglas W. Nilson, R.E.H.S. <br />t Al Olsen, R.E.H.S. Stockton, C <br />•''' T.. P • Program Manager Telephone: (209) 4b8-3420 Margaret Lagorio, R.E.H.S. <br />Robert McClellon, R.E.H.S. <br />bo <br />Laurie A. Cotulla, RE.H.S. Fax: (209) 464-0138 <br />Mark Barcellos, R.E.H.S. <br />Program Manager <br />UNIFIED PROGRAM HAZARDOUS WASTE INSPECTION REPORT <br />Facility Name <br />Address a°ok�Gg� <br />city Ply State QL Zip Code <br />EPA I D Number <br />ndustry Type C s'twns <br />Facility Contacts �`'— <br />Aqo�Title Phone Y �- _�31D`�$ <br />(:nnsent Given By JP S �c Title %0 <br />Inspection Dates) bd� Inspection Type (circle): <br />REPRESENTATIVES PRESENT <br />Name Title <br />---------------- <br />uti Complaint Follow -Up <br />Organization <br />one or more <br />ons of the c;aiifornia <br />This report may identify conditions observed this day that are Regulato tions, , Title 22 (22ations f CCR) relating totlthe management the <br />Th p n the attached note completing Of <br />Health and Safety Code (NSC) or the California Code of Reg <br />hazardous waste. The violations may bedescribed 'inspection you may be In.more detail inform d of additional violations.After comp <br />evaluation of the information obtained during t <br />If any <br />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). County may result in San Joaquin County Environmental <br />Failure to correct these violations within the scheduled period prove Y <br />reclude <br />Health Department (EHD) citing you for continuingladditon as aviolations. <br />of the violationstnoted pection Report does not p <br />is EHD from taking any administrative, civil or criminal ac <br />anmeketaIM. 70St <br />e eived by Date <br />Page 1 of 5 <br />ai�rn� <br />