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ENVIRONMENTAL HEALTH DEPARTMENT <br /> SAN JOAQUIN COUNTY <br /> Unit Supervisors <br /> Donna K.Reran,R.E.H.S. 304 East Weber Avenue, Third Floor s <br /> .a Carl Bor man,R.E.H.S. <br /> Director Mike Huggins,R.E.H.S.,R.D.I. <br /> At Olsen,R.E.H.S. Stockton, California 95202-2708 <br /> Douglas W.Wilson,R.E.H.S. <br /> • 6gC�FORN;P• Program Manager Telephone: (209) 468-3420 Margaret Lagorio,R.E.H.S. <br /> Laurie A.Cotulla,R.E.H.S. Fax: (209) 464-0138 Robert McClellon,R.E.H.S. <br /> Program Manager Mark Barcellos,R.E.H.S. <br /> UNIFIED PROGRAM HAZARDOUS WASTE INSPECTION REPORT <br /> Facility Name 56,-) -s s A 11�1 Q��f"I Cct vl ��Cl age <br /> Address ,SU1 <br /> City LAx hl ze State CA Zip Code S 3 <br /> EPAI.D.Number ( A L 0(�_ Industry Type rDc,-j ✓I<(, "Is- <br /> Facility Contact � e �rCluH Title: LVS+6.-L Phone QS <br /> Consent Given By TIcg,bdere Title <br /> Inspection Date(s) ` 6 Inspection Type (circle): <1!ou Ine Complaint Follow-Up <br /> REPRESENTATIVES PRESENT <br /> X( �Q � L� Title �u Orgat( ntioD <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 so <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 continuingladditional 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 /> l <br /> ( 0 1 A�Ac� �X < Y <br /> n ironmental Health Spbdialist Receive y D t <br /> 315102 Page 1 of <br />