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ENVIRONMENTAL HEALTH DEPARTMENT <br /> �Q <br /> P0U'�N.0 SAN JOAQUIN COUNTY Unit Supervisors`moi '.O <br /> Carl Borgman,R.E.H.S. <br /> Donna K.Heran,R.E.H.S. 304 East Weber Avenue, Third Floor Mike Huggins,R.E.H.S.,R.D.I. <br /> cr < Director <br /> Al Olsen,R.E.H.S. Stockton, <br /> California 95202-2708 Douglas W.Wilson,R.E.H.S. <br /> _ Telephone: (209) 468-3420 Margaret Lagorio,R.E.H.S. <br /> P Program Afaiager Robert IVicClellon,R.E.KS. <br /> c4�iFbRr' Laurie A.Cotulla,R.E.H.S. Fax: 209 464-0138 <br /> Fax: (209) Mark Barcellos,R.E.H.S. <br /> Program Alaiager <br /> UNIFIED PROGRAM HAZARDOUS WASTE INSPECTION REPORT <br /> Facility Name U <br /> Address Z <br /> State QA Zip Code `i�> Z c' <br /> City �'��• . <br /> D.Number 6 Al �" '�� Industry Type �� o dR' ��' <br /> EPA I. �Q 3 3 <br /> �Ce Phone _Z <br /> Facility Contact Title I I <br /> t I Title <br /> Consent Given By <br /> Inspection Date(s) <br /> W/6/0 Inspection Type (circle): t�outi Complaint Follow-Up <br /> REPRESENTATIVES PRESENT <br /> Organization <br /> Title ,G <br /> Name <br /> relating to the management of <br /> identify conditions observed this day that are alleged to be Title 22 (22one CCR) <br /> r more sections of the C•alifornia <br /> This report may fY lean the <br /> Health and Safety Code (HSC) or the California Code of Regulations, ` <br /> e attached <br /> s. <br /> hazardous waste. The violations may be described in more detail e informed of additional violations. <br /> After comp 9 <br /> evaluation of the information obtained during the inspection,you may lance within 60 <br /> If any violations <br /> are noted,the facility is required to submit a signed Certification of Return to Compi <br /> days,unless otherwise specified (A certification form is provided). may result in San Joaquin County Environmenta <br /> Failure to correct these violations within the scheduled period provided y <br /> t EHD citing you for continuing additional violations. Issuance o <br /> olationsl <br /> noted Inspection Report does not precludE <br /> Health Department( ) <br /> EHD from taking any administrative,civil or criminal action as a result of the vi <br /> Date <br /> ironm�ea �ltpecialist <br /> Received by <br /> Page 1 of <br /> 3/5/02 <br />