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ENVIRONMENTAL HEALTH DEPARTMENT <br /> SAN JOAQUIN COUNTY <br /> Unit Supervisors <br /> Donna K.Heran,R.E.H.S. <br /> Q, 304 East Weber Avenue, Third Floor <br /> Director Carl Borgman,R.E.H.S. <br /> Mike Huggins,R.E.H.S.,R.D.I. <br /> Al Olsen,R.E.H.S. Stockton, California 95202-2708 Douglas W.Wilson,R.E.H.S. <br /> <<gCtFORa;P• Program Manager Telephone: (209) 468-3420 Margaret Lagorio,R.E.H.S. <br /> Laurie A.Cotulla,R.E.H.S. Fax: (209) 464-0138 Robert McClellon,R.E.H.S. <br /> Program Manager Mark Bareellos,R.E.H.S. <br /> UNIFIED PROGRAM HAZARDOUS WASTE INSPECTION REPORT <br /> Facility Name (,&>D 1 Aff�A — S1*& IA&,-G- <br /> Address IZS IVCAR•9LA ST <br /> City Lkvk State _.A Zip Code q STL*b <br /> EPA I.D.Number q Industry Type"'s �P► -- <br /> Facility Contact�'t.�%�✓A , I)�_Title- Phone9�/� <br /> Consent Given By ^ Title <br /> Date <br /> Ins <br /> Inspection s Ll l $ Inspection Type (circle): Routine Complaint Follow-Up <br /> N <br /> REPRESENTATIVES PRESENT <br /> Njame Title Organization <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 viola ions noted. <br /> Environmental Health Specialist Received by Date <br /> 3/5/02 Page 1 of <br />