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ENVIRONMENTAL HEALTH DEPARTMENT <br /> o.n <br /> " SAN JOAQUIN COUNTY Unit Supervisors <br /> �.• —,,Cf•': Carl Borgman,R.E.H.S. <br /> Donna K.Heran,R.E.H.S. 304 East Weber Avenue, Third Floor Mike Huggins,R.E.H.S.,R.D.I. <br /> N: iii Director California 95202-2708 <br /> Al Olsen,R.E.H.S. Stockton, Douglas t Nilson,R.E.H.S.. <br /> _ P Program Manager Telephone: (209) 468-3420 Margaret Clell n R..E.H.S <br /> • i FlOR4\ Laurie A.Cotulla,R.E.H.S. Fax: (209) 464-0138 Robert M rcell on,R.E.H.S. <br /> Program Manager <br /> Mark Barcellos,R.E.H.S.' <br /> UNIFIED PROGRAM HAZARDOUS WASTE INSPECTION REPORT <br /> Facility Name C <br /> Address- <br /> City <br /> State CA Zip Code <br /> EPA I.D.Numbe. <br /> ►�-�r�,a�tl,t, � <br /> IndustryType <br /> �_,� f. _� Title <br /> Title <br /> X Phone <br /> Facility Contact J- <br /> Consent Given By S,""'`'E5 "' "� x� <br /> Inspection Type (circle): o e Complaint Follow-Up <br /> Inspection Date(s) <br /> REPRESENTATIVES PRESENT <br /> Title Organization <br /> Name 1___&C_1e'D <br /> c-e•aPr1 ct.JC�i-��OQ- <br /> a <br /> Regulations, Title 22 (22 CCR) relating to the management of <br /> This report may identify conditions observed this day that areallegedto be violations of one or more sections of the California <br /> p completing the <br /> Health and Safety Code (HSC) or the California Code of g <br /> hazardous waste. The violations may be described inspin ection,you may be infoore detail on hmed of additione attached al violations.After comp 9 <br /> evaluation of the information obtained during the insp <br /> violations are noted, the facility is required to submit a signed Certification of Return to Compliance within 60 <br /> If an y <br /> days, unless otherwise specified(A certification form is provid <br /> may result in San <br /> in County Environmental <br /> Failure to correct these violations within the scheduled period provide <br /> Health <br /> of this nspectionuReportdnes not preclude <br /> Health Department(EHD) citing you for continuing/additional violatio <br /> rative, civil or criminal action as a result of the violations noted. <br /> EHD from taking any administ <br /> Envi nm t He �peciiaVlst <br /> Rec y D e <br /> Pagel of <br /> 3/5/02 <br />