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ENVIRONMENTAL HEALTH DEPARTMENT <br /> PpUlry SAN JOAQUIN COUNTY <br /> Unit Supervisors <br /> Donna K.Heran,R.E.H.S. Carl Borgman,R.E.H.S. <br /> 304 East Weber Avenue, Third Floor Mike Huggins,R.E.H.S.,R.D.I. <br /> Director w <br /> Al Olsen,R.E.H.S. Stockton, California 95202-2708 Douglas W.Wilson,R.E.H.S. <br /> Program Manager Telephone: (209) 468-3420 Margaret Lagorio, R.E.H.S. <br /> eq ci F6'' <br /> o � Laurie A.Cotulla,R.E.H.S. Robert McClellon,R.E.H.S. <br /> Fax: (209) 464-0138 Mark Barcellos,R.E.H.S. <br /> Program Manager <br /> UNIFIED PROGRAM HAZARDOUS WASTE INSPECTION REPORT <br /> Facility Name ` <,' <br /> Address\�t,-9-',� �''�'S " <br /> City -� <br /> State ICA.. Zip Code <br /> EPA I.D.Number <br /> Industry Type <br /> Facility Contact <br /> ;� Y�J��'•�i� Title.�� �►`��'�C�� Phone <br /> Consent Given By <br /> J� v=U��}z� TitlesC <br /> Inspection Date(s) 2AA4 �Inspection Type (circle): outine Complaint Follow-Up <br /> REPRESENTATIVES PRESENT <br /> Name Title Organization <br /> ons of the <br /> This report may identify conditions observed this day the of Reare gulations, Title Tit elations 22 (22fone or more CCR) relating totlthe managementlnc <br /> Health and Safety Code (HSC) or the California Cod 9 <br /> hazardous waste. The violations may be described in more tail on the attached nosheets.informed of additional violations After completing th <br /> evaluation of the information obtained during the inspection,you may <br /> If any violations are noted,the facility is required to submit a signed Certification of Return to Compliance within E <br /> days, unless otherwise specified (A certification form is provided). <br /> Failure to correct these violations within the scheduled period <br /> Iviolationprovided <br /> eassuance of this inspectdoes not precluc <br /> in County Environmen" <br /> Health Department (EHD) citing you for continuing/ad <br /> EHD from taking any administrative, civil or criminal action as a re of the violations noted. <br /> ` <br /> OkA <br /> Env' n to alth Specialist Received by Date <br /> Page 1 of <br /> 3/5/02 <br />