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ENVIRONMENTAL HEALTH DEPARTMENT <br /> °J`" ' SAN JOAQUIN COUNTY <br /> Uni(S'upen�isurs <br /> Donna K. Heran,R.E.II.S. <br /> 304 East Weber Avenue, Third Floor Carl Huggins, <br /> Bergman, H P. S. <br /> i� .��n:� Direcror Mike Fluggins R E.H.S.. R i <br /> r Al Olsen,R.E.H.S. Stockton, California 95202-2708 Douglas w. Wilson. R E FI S <br /> c P,ogrom Afnnnger Telephone: (209) 468-3420 Margaret Ln_ono R E H S <br /> Laurie A. Coeulla,R.E.H.S; Fax: (209) 46'4-0138 RobertMcClellon. R E.II S <br /> Progrnni ManagerMark Barcellos, RH S <br /> UNIFIED PROGRAM HAZARDOUS WASTE INSPECTION REPORT <br /> Facility Name My. 5 5 r SE kn L <br /> Addresssst 52- <br /> City <br /> J2City State CA Zip Cods <br /> a <br /> EPA I.D.Number CAL QQQl 21 1`42 _Industry Type L Orc0.�L <br /> Facility Contact W0_VU' Title' (DU_)y)f fr­ Phone • �j�2 '613 1 <br /> Consent Given By Title <br /> Inspection Date(s) a a-05 Inspection Type (circle): outin Complaint Follow-Up <br /> REPRESENTATIVES PRESENT <br /> Name Title Organization <br /> mina Craw _ 12 - ,Sac Et +D <br /> �'Ichard L3uw er (�wnEr Mi . ); Z5 En r,f rie c <br /> This report may identify conditions observed this day that are alleged to be violations of one or more sections of the Californ.a <br /> Health and Safety Code (HSC) or the California Code of Regulations, Title 22 (22 CCR) relating to the managemen! of <br /> hazardous waste. The violations may be described in more detail on the attached note sheets. After completing lne <br /> evaluation of the information obtained during the inspection, you maybe 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 /> Health Department (EHD) citing you for continuing/additional violations. Issuance of this Inspection Report does not preclude <br /> E`HDD from taking any administrative, civil or criminal action as a result of the violations noted. <br /> h7l (/na n a j j Z'Z o S <br /> Environmental Health Specialist Received by Date <br /> 3/5/02 Pagel of l <br />