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.:c4:�::2:P <br />FOR <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />Donna K. Heran, R.E.H.S. <br />Director <br />Al Olsen, R.E.H.S. <br />program Manager <br />Laurie A. Cotulla, R.E.H.S. <br />program Manager <br />SAN JOAQUIN COUNTY <br />304 East Weber Avenue, Third Floor <br />Stockton, California 95202-2708 <br />Telephone: (209) 468-3420 <br />Fax: (209) 464-0138 <br />Unit supervisors <br />Carl Borgman, R.E.H.S. <br />Mike Huggins, R.E.H.S., R.D.I. <br />Douglas W. Wilson, R.E.H.S. <br />Margaret Lagodo, R.E.H.S. <br />Robert McClellon, R.E.H.S. <br />Mark Barcellos, R.E.H.S. <br />UNIFIED PROGRAM HAZARDOUS WASTE INSPECTION REPORT <br />Facility Name'�d'`S"" <br />Address %0%s S • G\'` -3Z <br />State fL Zip Code <br />City <br />ptr�p�'a'�\low Industry Type ; -� <br />EPA I.D.Number - -M_Xk <br />Facility Contact"`'iO��� `�`r^''°'� Title• <br />C� <br />C4:-�s'Title ��z''�'a' <br />Consent Given By "�— <br />51 _Inspection Type (circle): ou ' Complaint Follow Up <br />Inspection Date s <br />REPRESENTATIVES PRESENT <br />Title Organization <br />Name <br />06 GP <br />52 <br />be violations one or more <br />ons of the Californi <br />are <br />to <br />This report may identify conditionsoobhe Califom!a C de of Reguattiions, Title 22 (22fCCR) relating tobthe management r <br />Health and Safety Code (HSC) <br />After completing th <br />hazatclous waste. The v'Ons maydetail n the attached note sheets <br />evaluation of the informal o�niobtained dung the in pe desee tion,, yoru may be inform d of additional Violations <br />If any violations are noted't cil certification forts i bmit <br />a 519 <br />days, unless otherwise specifiedhe provided) ed Certification of Return to Compliance within f <br />may result in San reclu <br />Failure to correct thEHD)iolationsowithin continui gladditdionallviolations. issuance of this nspectionuin County Report does not p me <br />Health Department ( citing y <br />EHD from taking any administrative, civil or criminal action as a result of the violations noted. <br />5 03 <br />Date <br />R Ned by <br />Environmental Health Specialist <br />Page i of <br />a/Slm <br />