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ENVIRONMENTAL HEALTH DEPARTMENT <br />PCU`" SAN JOAQUIN COUNTY <br />Unit Supervisors <br />t� Donna K. Heron. R.E.H.S. Carl Borgman. R.E.H.S. <br />d Director 304 East Weber Avenue, Third Floor <br />t \1:Sa Hugems, R.E.H.S.. R.D.I. <br />Al Olsen, R.E.H.S. Stockton, California 95202-2708 <br />Douelas R. Wilson, R.E.H.S. <br />Program Manager Telephone: (209) 468-3420 Marearet Lagorio. R.E.H.S. <br />GrFoa Laurie A. Cotulla. R.E.H.S.artel - <br />Program Manager. Fax: (209) 464-0138 Roam l(on, R.E.H. <br />g Mark Barcellos, R.E.H.S.. <br />UNIFIED PROGRAM HAZARDOUS WASTE INSPECTION REPORT <br />Facility Name <br />Address -1 <br />City Z�L 0 State fA% Zip Code <br />EPA I.D.NumberC D 3� ©©� 3 IndustryType Ltd t 12s l/&ilf" <br />Facility Contact �(t� IUaCaul. Title: fllUllartw,..0 EdJ�2—.Phone 9L(Z-ist` <br />Consent Given By llLtc .Vd,3.n Title Sr <br />Inspection Date(s)66 944 Inspection Type (circle): outine Complaint Follow -Up <br />REPRESENTATIVES PRESENT <br />Name Title Organization <br />C.(tA l )4,A fir, :,.,.> p ePQA S, P t <br />t <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 />Health Department (EHD) citing you for continuing/additional 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 />K � A, 1jiG JAC�' C L /' /I aolf <br />E vironmental Health S cialist Received by L7at0 <br />3/5/02 Pagel of <br />