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ENVIR NMENTAL HEALTH DEPARTMENT <br /> OPpU,IN C SAN JOAQUIN COUNTY Unit Supervisors <br /> �, _�•,oG u ervisors <br /> Donna K.Heran, E.H.S. Carl Borgman,R.E.H.S. <br /> Direcm, 304 East Weber Avenue, Third Floor Mike Huggins,R.E.H.S.,R.D.I. <br /> Al Olsen,RX H.S. Stockton, California 95202-2708 Douglas W.Wilson,R.E.H.S. <br /> • �... �c Program Ma ager Telephone: (209) 468-3420 Margaret Lagorio,R.E.H.S. <br /> 9�1F610i Laurie A.Cotulla R.E.H.S. Robert McClellon,R.E.H.S. <br /> Program Ma ager Fax: (209) 464-0138 Mark Barcellos,R.E.H.S. <br /> UNIFIED ROGRAM HAZARDOUS WASTE INSPECTION REPORT <br /> Facility Name 1,D r%v- T <br /> Address ��\o <br /> City `- � I State CA.Zip Code �Si\ <br /> EPA I.D.Number 5q Industry Type <br /> Facility Contact Title S;EQJ\�� Phone <br /> Consent Given By Title <br /> Inspection Date(s) Inspection Type (circle): <igiComplaint Follow-Up <br /> REPRESENTATIVES PRESENT <br /> Name Title Organization <br /> This report may identify Condit ons observed this day that are alleged to be violations of one or more sections of the California <br /> Health and Safety Code (HS ) or the California Code of Regulations, Title 22 (22 CCR) relating to the management of <br /> hazardous waste. The viol ions may be described in more detail on the attached note sheets. After completing the <br /> evaluation of the information btained during the inspection,you may be informed of additional violations. <br /> If any violations are noted, he facility is required to submit a signed Certification of Return to Compliance within 60 <br /> days, unless otherwise spe ified (A certification form is provided). <br /> Failure to correct these viol tions within the scheduled period provided may result in San Joaquin County Environmental <br /> Health Department(EHD) cit ng you for continuing/additional violations. Issuance of this Inspection Report does not preclude <br /> EHD from taking any adminis rative, civil or criminal action as a result of the violations noted. <br /> CL <br /> 1 D D3 <br /> onm nt h peci list Receiv by Dat <br /> 3/5/02 Page 1 of <br />