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Environmental Health - Public
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EHD Program Facility Records by Street Name
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WATERLOO
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2200 - Hazardous Waste Program
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PR0521291
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COMPLIANCE INFO
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Last modified
5/4/2020 5:13:51 PM
Creation date
4/27/2020 12:24:16 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2200 - Hazardous Waste Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0521291
PE
2220
FACILITY_ID
FA0002160
FACILITY_NAME
BlackHawk Petroleum Inc.
STREET_NUMBER
5611
Direction
E
STREET_NAME
WATERLOO
STREET_TYPE
RD
City
STOCKTON
Zip
95215
APN
08710052
CURRENT_STATUS
01
SITE_LOCATION
5611 E WATERLOO RD
P_LOCATION
99
P_DISTRICT
002
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\HW\HW_2220_PR0521291_5611 E WATERLOO_.tif
Tags
EHD - Public
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0 <br /> ENVIRONMENTAL HEALT DEPARTMENT <br /> SAN JOAQUIN COUNTY <br /> �.• -_.<<' .oG Unit Supervisors <br /> R <br /> an <br /> Donna K.Her ,R.E.H.S. Carl Borgman,R.E.H.S. <br /> Q. %�` •-� 304 East Weber Avenue, Third Floor <br /> a. `h X Director Mike Huggins,R.E.H.S.,R.D.I. <br /> Al Olsen,R.E.H.S. Stockton, California 95202-2708 <br /> Douglas W.Wilson,R.E.H.S. <br /> • c•., �P• Program Manager Telephone: (209) 468-3420 Margaret Lagorio,R.E.H.S. <br /> OR <br /> Laurie A.Cotulla,R.E.H.S. Fax: (209) 464-0138 Robert McClellon,R.E.H.S. <br /> Program Manager Mark Barcellos,R.E.H.S. <br /> UNIFIED PROGRAM HAZARDOUS WASTE INSPECTION REPORT <br /> Facility Name <br /> Address _4;�6 l f 157 We( � �► <br /> City _State CA Zip Code ��i�s <br /> EPA I.D.Number � ��s� rn�i�e-ri Industry Type �a <br /> S <br /> pp G1Ncc <br /> . o 467 365' <br /> Facility Contact 1 dd' nr 10-nd6 Title: l��a Phone__ZqV Z Z <br /> Consent Given By -1;c%J G✓le,.-',d& Title <br /> Inspection Dates) 4 Inspection Type (circle): R Complaint Follow-Up <br /> REPRESENTATIVES PRESENT <br /> Name Title Organization S h AJAy '� <br /> r►d."de <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 vi ti S. Issuan of this Inspection Report does not preclude <br /> EHD from taking any administrative, civil or criminal action as res t of the v' ar s noted. <br /> E onmental alth Specialist Re ived by Date <br /> 3/5/02 Page 1 of <br />
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