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ENVIRONMENTAL HEALTH DEPARTMENT <br /> Op'•�-u!"'•C SAN JOAQUIN COUNTY <br /> Unit Supervisors <br /> Donna K.Heran,R.E.H.S. T111IC1 F100T Carl Borgman,R.E.H.S. <br /> Q; { 304 East Weber Avenue, Mike Huggins,R.E.H.S.,R.D.I. <br /> Director <br /> 1' `'' '• Al Olsen,R.E.H.S. Stockton, California 95202-2708 Douglas W.Wilson,R.E.H.S. <br /> Program Manager Telephone: (209) 468-3420 Margaret Lagorio,R.E.H.S. <br /> • �' — �P g p Robert McClellon,R.E.H.S. <br /> 44iF6R• Laurie A.Cotulla,R.E.H.S. Fax: (209) 464-0138 <br /> Mark Barcellos,R.E.H.S. <br /> Program Manager <br /> UNIFIED PROGRAM HAZARDOUS WASTE INSPECTION REPORT <br /> Facility Name <br /> Address p� <br /> City State-QA..Zip Code <br /> TS-- <br /> EPA I.D.Number <br /> (�-'� a(� Industry Type <br /> • 7 Phone � 7 -366VFacility Contact Title � ��� e <br /> Consent Given By Title) <br /> ( <br /> Inspection Dates /17 <br /> �- <br /> � Inspection Type (circle): outine Complaint Follow-Up <br /> REPRESENTATIVES PRESENT <br /> Title67 <br /> Organization <br /> �J <br /> This report may identify conditions observed this day that are alleged to be viol 22n2of CCR) relating toone or more titheon of the Cmleot of <br /> Health and Safety Code (HSC) or the California Code of Regulations, Title <br /> hazardous waste. The violations may be described tionyou may tail on the informed attached nadditioote <br /> violations,After completing the <br /> evaluation of the information obtained during the inspection,y Y <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 violations.io dmay result in San lssuance of this Inspection does not preclude <br /> in County Environmental <br /> Health Department(EHD)citing you for continuing/additiona <br /> EHD from taking any administrative,civil or criminal action as a result of the violations noted. <br /> to <br /> Vnvironimental Hea&4i—st — <br /> Received by <br /> Page 1 of <br /> 3/5/02 <br />