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ENVIRONMENTAL HEALTH DEPARTMENT <br /> SAN JOAQUIN COUNTY Unit Supervisors <br /> Donna K.Heran,R.E.H.S. Carl Bgins,R. R.E.H.S. <br /> N :< Director <br /> 304 East Weber Avenue, Third Floor 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 Clell o,R.E.H.S. <br /> • c0cikoR`'� S. <br /> Laurie A.Cotulla,R.E.H.S. Robert M rcell s, .E.H. . <br /> Fax: (209) 464-0138 Mark Barcellos,R.E.H.S: <br /> Program Manager <br /> UNIFIED PROGRAM HAZARDOUS WASTE INSPECTION REPORT <br /> Facility Name "D'�A <br /> Address 'RD• ♦G <br /> State QA_Zip Code <br /> City <br /> EPA I.D.Number Industry Type ♦. } <br /> � ♦c, �,ga � Title- Phone <br /> Facility Contact <br /> Title <br /> Consent Given By <br /> Inspection Date(s) 3\� Inspection Type (circle): <1outi Complaint Follow-Up <br /> REPRESENTATIVES PRESENT <br /> Title Organization <br /> Name �`� S Sic.,-IGNa <br /> ons of the <br /> ia <br /> This report may identify conditions observed this day <br /> alleged <br /> uafions, Title 22 (22fCCR) relating toone or more tlthe managementnof <br /> Health and Safety Code (HSC) or the California Code of Re9 <br /> hazardous waste. The violations may be described in m you may be informed attached of additional shevioets. <br /> After completing the <br /> evaluation of the information obtained during the inspection,Y <br /> If any <br /> 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 Environmental <br /> Failure to correct these violations within the scheduled perl�olationselssuance of this inspection may result in San uReport does not preclude <br /> Health Department(EHD)citing you for continuing/additional <br /> EHD from taking any administrative,civil or criminal action as a result of the violations noted. <br /> iron ent a It Specialist <br /> Received by Dat <br /> Page 1 of .S <br /> 3/5/02 <br />