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ENVIRONMENTAL NMENTAL HEALTH DEPARTMENT <br /> ' SAN JOAQUIN COUNTY <br /> .o Unit Supervisors <br /> Donna K.Heran,R.E.H.S. <br /> 304 East Weber Avenue, Third Floor Carl Bergman,R.E.I IS. <br /> a: Mike Huggins,R.E.H.S.,R.D.I. <br /> " Y °i'e°t°' California 95202-2708 <br /> • Al Olsen,R.E.H.S. Stockton, Douglas W.Nilson,R.E.H.S. <br /> Program Manager Telephone: (209) 468-3420 Margaret Lagorio,R.E.H.S. <br /> c4�i Foa`'� Laurie A.Cotulla,R.E.H.S. Robert McClellon,R.E.H.S. <br /> Progrmn hfanager Fax: (209) 464-0138 Mark Barcellos,R.E.H.S. <br /> UNIFIED PROGRAM HAZARDOUS WASTE INSPECTION REPORT <br /> Facility Name (t�v% ' <br /> Address- <br /> ,L/ , - State QA-Zip Code �117�) ' <br /> EPA I.D.Number <br /> �i (�iC)l - � (A Industry Type ►Mr, <br /> Facility Contact PAULA <br /> �+k�1✓11 itle �� Phone <br /> � t <br /> Consent Given By <br /> ' l Title <br /> _Ins ection Type (circle): Routine Complaint Follow-Up <br /> Inspection Date(s) � p <br /> REPRESENTATIVES PRESENT <br /> Title Organization <br /> Name <br /> ,� D <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 Codeof ore detail onTitle the attached not rslheetgs.ng toAfter completing the <br /> the management of <br /> hazardous waste. The violations may be described i <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 Pallod providmay result in San violationseassuance of th s aspectiognuReport does not preclude <br /> in County Environmental <br /> Health Department(EHD)citing you for continuingladditio <br /> EHD from taking any administrative,civil or criminal action as a resu of the violations noted. <br /> .q' y?� <br /> ��' ` Date <br /> onmental Health Specialist Receive <br /> Envir <br /> Page 1 of <br /> 3/5/02 <br />