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ENVIRONMENTAL 11EALTII DEPARTMENT <br />JOAQUTN COUNTY unit Supervisors <br />SAN <br />Carl Borgman, R.E.H.S. <br />"ah Donna K. Reran, R.E.H.S. 304 East Weber AVBnllO, Third Floor <br />Mike Huggins, R.E.H.S., R.D.I. <br />Director Stockton, California 95202-2708 Douglas Nv. Wilson, R.E.H.S. <br />�- Al Olsen, R.E.H. S. MargaretLagorio,R.E.H.S. <br />> ` Program Manager Telephone: (209)468-3420 Robe rt McClellon, R.E.H.S. <br />•.c9Ci' o`'�P• Laurie A. Cotulla, RE.H.S. Fax: (209)464-0138 - Mark Barcellos, R.E.H.S. <br />Program bfanoger <br />UNIFIED PROGRAM HAZARDOUS WASTE INSPECTION REPORT <br />Facility N <br />Address <br />State CA Zip Code <br />City `�NvCCoa �s <br />Cy�7� Industry Type S: <br />EPA I.D.Number Phone <br />t" "`v' \ <br />Title <br />Facility ContacSD `� <br />Title <br />�1PiWi <br />Consent Given ByJ\� ou m Complaint Follow -UI <br />Inspection Dates) <br />5�30�0� inspection Type (circle): <br />REPRESENTATIVES PRESENT <br />Title <br />Srcclvo� <br />�� S�UPa 1ST <br />Organization <br />SS C, <br />G �E <br />this ulations, Title 22 (22 CCR) relating to the managemE <br />ns of the <br />etin <br />This report may identify conditionseothe Calif <br />hazardous <br />of Reare galleged a l on the to be atattached note heetsions of one or more ecGAofter comPCa,t <br />Health and Safety Code (HSC) <br />hazardous waste. The violations may be described in .more may be informed of additional violations. <br />evaluation of the informthe insection, you <br />Pation obtained during Rance Witt <br />If any violations are noted, the facility is required to submit a signed Certification of Return to Comp <br />days, unless otherwise specified (A certification form is provided). <br />period provided may result in San Joaquin County snit Pr <br />Failure to correct these violations within the scheduled p <br />Report <br />does not pr <br />Health Department (EHD) citing you for continuing/additional violations. Issuance of this Inspection Rep <br />civil or criminal action as a result of the violations noted. <br />HHD from taking any administrative, <br />o �Spediallst� <br />oretno <br />Qat <br />Received by <br />page 1 of <br />