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ENVIRONMENTAL HEALTH DEPARTMENT <br /> " SAN JOAQUIN COUNTY <br /> s.• Unit Supervisors <br /> a <br /> Donna K.Heran,R.E.H.S. Carl Borgman,R.E.H.S. <br /> :i. :^ _.z 304 East Weber Avenue, Third Floor <br /> X Director Mike Huggins,R.E.H.S.,R.D.I. <br /> s Al Olsen,R.E.H.S. Stockton, California 95202-2708 <br /> Douglas W.Wilson,R.E.H.S. <br /> • (<q ;P• Program Manager Telephone: (209) 468-3420 Margaret Lagorio,R.E.H.S. <br /> 4j F oR`' Laurie A.Cotulla,R.E.H.S. Robert McClellon,R.E.H.S. <br /> Program Manager Fax: (209) 464-0138 Mark Barcellos,R.E.H.S. <br /> UNIFIED PROGRAM HAZARDOUS WASTE INSPECTION REPORT <br /> Facility Namec (L � '� <br /> Address ��� _/�� Y <br /> City State CA Zip Code <br /> `_.��� <br /> EPA I.D.Number C'�Ikl/ Rfl D l�J 1 Industry Type � ll`y✓ <br /> Facility Contact�A �/ � � Title 'LPhone(2c7)9?/ <br /> Consent Given By � Title <br /> Inspection Date <br /> 4 Type circle 6;; Complaint Follow-Up <br /> s) InsPection yP ( )' <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. 30 <br /> If any violations are noted, the facility is required to submit a signed Certification of Return to Compliance within 66 <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 /> N Environmental Health Specialist Received by6�3_ <br /> 3/5/02 Page 1 of <br />