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'^ ENVIRONMENTAL <br /> NVNRONMENTAL HEALTH DEPARTMENT <br /> ^� �7� ��� �k ���T��� �����T�����J <br /> �z��n w����"����� COUNTY Unit Supervisors <br /> Donna K.D''an,R'E'8'8' 304 ]�o»i ��cbo/ ��vcnoo, Third {�\o0r Cur|B»'�man.K�C�H�S� <br /> Director Mike BuQgiox DERS,K.Dl <br /> .' <br /> A|0|s, ,R.D.H.9. Stockton, California 95702-2708 Doug|n,v/.- i\'o'^-E]Ll <br /> 0ogvm8�»/«g'r ]eloo�onc: /70q\ 468-3420 ��u�nuxL,�vio�Kl][�� <br /> R.E.H.S. <br /> ��i��� ~ LuohcA.Cm«Uo,}�E.B'S' Telephone: <br /> [2�g) 464_Ul�� Kobvn&icC\cUun.K. <br /> P,"gom&�//oxo, ^ ~'^' ` ' Mark Duod|vs.K.C]iS. <br /> UNIFIED PROGRAM HAZARDOUS WASTE INSPECTION REPORT <br /> Facility Name <br /> .— <br /> Address <br /> City �� <br /> ��tat8 [� �ripCOd8EPA I.D.Number CAP 991 <br /> m�6 —Industry Type <br /> Facility Contact <br /> Consent Given By <br /> Z' Complaint Follow-Up <br /> Inspection Date(s)- /all Inspection Type (circle): Routine <br /> REPRESENTATIVES PRESENT <br /> Organization <br /> / @DiZ8tiDn <br /> Name <br /> T - � <br /> Thinnoportmayidenhfyoondit\o ~- obaervedthiudaythotarao||agadhobevio|otionacfnneornnoreneukmauftheCa|ifnrn\a <br /> Health (HSC) ~ <br /> H |th mnd Safety Code (HSC or the California Code of Regu|ationu. Tide 22 (22 CCR) relating to the management of <br /> e a�«r <br /> hazardous waste. The violations may be described in more detail on the attached note sheets. After completing the <br /> evaluation ofthe information obtained during the inspection,you roay be informed of additional violations. <br /> |fany violations one noted, the facility is required to submit a signed Certification of Return to Compliance within GU <br /> days, unless otherwise specified (Acertification form ioprov\ded). <br /> Failure to correct these violations within the scheduled period provided may result \n Son Joaquin County Environmental <br /> Health Oepartment (�HO) cidngyou for conUnuing/addidono\ vio\oUuns. Issuance ofthis Inspection Rapo�does not pre�ude <br /> EHD�omtaking any <br /> ` administrative, civil orcriminal action as a resultofthe violations noted. <br /> list -------eoeived <br /> Rby -� Date� <br /> Page 1of <br /> 3/5/U2 <br />