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ENVIRONMENTAL HEALTH DEPARTMENT <br /> SAN JOAQUIN COUNTY <br /> Unit Supervises <br /> Donna K.Heran,R.E.H.S. Carl Borgman,R.E.H.S. <br /> { 304 East Weber Avenue, Third Floor Mike Huggins,R.E.H.S.,R.D.I. <br /> m: Director <br /> Al Olsen,R.E.H.S. Stockton, California 95202-270 Douglas W.Wilson,R.E.H.S. <br /> Program Manager Telephone: (209) 468-3420 Margaret Lagorio,R.E.H.S. <br /> cq�ik oRLaurie A.Cotulla,R.E.H.S.`'� Robert McClellon,R.E.H.S. <br /> Fax: (209) 464-0138 Mark Barcellos,R.E.H.S. <br /> Program Manager <br /> UNIFIED PROGRAM HAZARDOUS WASTE INSPECTION REPORT <br /> Facility Name J i j'4 S S Z <br /> Address n Z 5 C <br /> �� ` State �A..Zip Code �2�0 <br /> city / <br /> 0IndustryType V'`-S S4� ��) euD�'— <br /> EPA I.D.Number 11 �I <br /> Facility Contact <br /> H�r6� S`�o-�Y7itle duVi1U'C, Phone 36 737f <br /> Consent Given By <br /> S Title <br /> Inspection Date(s) I" I C31outine Z Inspection Type (circle): Complaint F011ow-Up <br /> REPRESENTATIVES PRESENT <br /> Title Organization <br /> Nambier e � I��er Y►'1 Dw�,C GzvfLK, ��'- <br /> va^ w�- <br /> one or more <br /> ons of the <br /> rnia <br /> This report may identify conditions observed this day Code of Regulaare tions, Title Title 22 (22e violations fCCR) relating totlthe managemeont of <br /> Health and Safety Code (HSC) or the California <br /> hazardous waste. The violations may be described inspection,in <br /> you maybe infoore detail on hmed of additie attached onal violations.After completing the <br /> evaluation of the information obtained during the i p <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 /> in County <br /> Failure to correct these violations within the scheduled period provided <br /> ssuance oflth's nspectiognuReportdnes not preclude <br /> ironmental <br /> Health Department (EHD) citing you for continuing/additional violations. <br /> EHD from taking any administrative, civil or criminal action as a result of the violations noted. <br /> Received by <br /> Date <br /> nvironmental Health Specialist <br /> Page 1 of <br /> 3/5/02 <br />