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ENV RONMENTAL HEALTH DEPARTMENT <br /> oP SAN JOAQUIN COUNTY <br /> �•• =.�--�•':� Unit Supervisors <br /> Donna K.H ran,R.E.H.S. <br /> 304 East Weber Avenue, Third Floor <br /> ctor Carl Borgman,R.E.H.S. <br /> m: Dir <br /> `J 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 /> • .. �P• Program Manager Telephone: (209) 468-3420 Margaret Lagorio,R.E.H.S. <br /> 44.i'9 Laurie A.Co Ulla,R.E.H.S. P <br /> Fax: (209) 464-0138 Robert McClellon,R.E.H.S. <br /> Program Manager Mark Barcellos,R.E.H.S. <br /> UNIF <br /> If PROGRAM HAZARDOUS WASTE INSPECTION REPORT <br /> Facility Name <br /> Address <br /> City State CA_Zip Code <br /> EPA I.D.Number 00 Z-1 3 Industry Type <br /> Facility Contact _T-Title f/l��� Phone �Z� •0�7� <br /> Consent Given By `' Title - <br /> Inspection Date �2 s) 6: 0out <br /> -3 Inspection Type (circle): ine Complaint Follow-Up <br /> REPRESENTATIVES PRESENT <br /> Name Title Organization <br /> evcsQa� C,��ri�r� Std <br /> This report may identify conditi ns 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 violati ns may be described in more detail on the attached note sheets. After completing the <br /> evaluation of the information ob ained during the inspection,you may be informed of additional violations. <br /> If any violations are noted, t e facility is required to submit a signed Certification of Return to Compliance within 60 <br /> days, unless otherwise speci ied (A certification form is provided). <br /> Failure to correct these violati ns within the scheduled period provided may result in San Joaquin County Environmental <br /> Health Department (EHD) citin you for continuing/additional violations. Issuance of this Inspection Report does not preclude <br /> EHD from taking any administr tive, civil or criminal action as a result of the violations noted. <br /> P_ Z <br /> Environmental Health Specialis Received by Da e <br /> 3/5/02 Page 1 of S <br />