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ENVIRONMENTAL HEALTH DEPARTMENT <br /> ' SAN JOAQUIN COUNTY <br /> Unit Supervisors <br /> R.E.H.S. 304 <br /> Borgman,R.E.H.S, <br /> Donna K.Heran,R.E. <br /> n,< Director 304 East Weber Avenue, Third Floor Mike Huggins,R.E.H.S.,R.D.I. <br /> " Al Olsen,R.E.H.S. Stockton, California 95202-2708 Douglas 1V.Nilson,R.E.H.S. <br /> • �.. _ `P Program Manager Telephone: (209) 468-3420 Margaret Lagorio,R.E.H.S. <br /> q i F o'R� Robert McClellon,R.E.H.S. <br /> Laurie A.Cotulla,R.E.H.S. Fax: (209) 464-0138 <br /> Program Manager Mark Barcellos,R.E.H.S. <br /> UNIFIED PROGRAM HAZARDOUS WASTE INSPECTION REPORT <br /> Facility Name <br /> Address <br /> City State CL Zip Code <br /> EPA I.D.Number C D I Industry Type_, x"ty �n Pe en IYIU.I,ni- m� <br /> lj <br /> Facility Contact 1 V l S l��(�1' � Title� 2i��%�r�1/a MA I'f r> I S C1 �IB�rone����1. Z_ �i 5 3 Lt <br /> Consent Given By�� �� � �'yL Titler1CZ ^ �l ' <br /> Inspection Date(s) " I� `Usk �� 33 Inspection Type (circle): Routine Complaint Follow-Up <br /> 5 o21`D4 <br /> REPRESENTATIVES PRESENT <br /> Name Title Organization <br /> 11�+e1 J T C C�p <br /> 0/�� <br /> `� <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 /> IjAatD— <br /> Date <br /> Environmental Health Specialist Received by <br /> Page 1 of <br /> 3/5/02 <br />