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ENVIRONMENTAL HEALTH DEPARTMENT <br /> ' SAN JOAQUIN COUNTY <br /> Unit Supervisors <br /> Donna K.Heran,R.E.H.S. Carl Borgman,R.E.H.S. <br /> 304 East`Veber Avenue, Third Floor <br /> a: < Director Mike Huggins,R.E.H.S.,R.D.I. <br /> ` Al Olsen,R.E.H.S. Stockton, California 95202-2708 Douglas w.Nilson,R.E.H.S. <br /> • C,.', `P•• Program Mannger Telephone: (209) 468-3420 Margaret Lagorio,R.E.H.S. <br /> 4��FORa 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 /> 1110 <br /> Facility Name �� <br /> Address "2)` A-V CV) <br /> City <br /> State QL Zip Code <br /> EPA I.D.Number D(Y)2. IndustryType `s <br /> Facility Contact I,�U�`� �'V�Q-I((� Title �k.W Phoneje.%_3 , (I I <br /> Consent Given By tN Title 1 kc n <br /> Inspection Date(s) +3 T Inspection Type (circle): Routinb Complaint Follow-Up <br /> REPRESENTATIVES PRESENT <br /> Na e Title Organiz�,t�n�� � <br /> 11 <br /> u ,b �• <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. <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 period provided may result in San Joaquin County Environmental <br /> I violations-., Issuance of this Inspection Report does not preclude <br /> Health Department(EHD)citing you for continuing/additiona <br /> EHD from taking any administrative,civil or criminal action as a r ult o the iolatio s noted. <br /> Environmental Health Specialist <br /> Received by Date <br /> Page 1 of <br /> 3/5/02 <br />