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ENVIRONMENTAL HEALTH DEPARTMENT <br />P°�'lN•• c <br />Donna K. Heran, R.E.H.S. <br />Director <br />Al Olsen, R.E.H.S. <br />P • Program Manager <br />eq i F o Qac Laurie A. Cotulla, R.E.H.S. <br />Program Manager <br />Facility Name <br />Address <br />SAN JOAQUIN COUNTY <br />304 East Weber Avenue, Third Floor <br />Stockton, California 95202-2708 <br />Telephone: (209) 468-3420 <br />Fax: (209) 464-0138 <br />Unit Supervisors <br />Carl Borgman, R.E.H.S. <br />Mike Huggins, R.E.H.S., R.D.I. <br />Douglas W. Nilson, R.E.H.S. <br />Margaret Lagorio, R.E.H.S. <br />Robert McClellon, R.E.H.S. <br />Mark Barcellos, R.E.H.S. <br />UNIFIED PROGRAM HAZARDOUS WASTE INSPECTION REPORT <br />City State CA Zip Code <br />EPA I.D.Number. '���y`� Industry Typ�� <br />Facility Contact <br />"�,,\\""_ ` v� b Titled'r�r ¢� Phone'$► �i:- <br />y Title <br />Consent Given By <br />n <br />a` Inspection Type (circle): �utine Complaint Follow -Up <br />� <br />Inspection Date(s) <br />Name <br />REPRESENTATIVES PRESENT <br />Title <br />Organization <br />ons of the <br />ia <br />This report may identify conditions observed this day that are <br />Relegeguatlo�s Title lations 22 (22of <br />relating toone or more tlthe managementnof <br />Health and Safety Code (HSC) or the California Code 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 al period violations. llssuance of this Inspection may result in San does not preclude <br />in County Environmental <br />Health Department (EHD) citing you for continuing/add <br />EHD from taking any administrative, civil or criminal action as a result of the violations noted. <br />Recei <br />nvir nm ntal H it S ecialist <br />d by Date <br />Page 1 of <br />3/5/02 <br />