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]E� A ENT <br /> ENVIRONMENTAL <br /> SAN JOA V iN COUNTY Unit Supervisors <br /> " 'oG Third Floor Carl Borgman,R.E.H.S. <br /> s �'? Donna K.Heran,R.E.H•S• 304 East Weber Avenue, Mike Huggins,R.E.H.S.,R.D.I. <br /> Director <br /> " Stockton, California 95202-2708 <br /> Douglas W.Wilson,R.E.H.S, <br /> Al Olsen,R.E.H.S. <br /> Program Manager Telephone: (209) 468-3420 Margaret Lagorio,R.E.H.S. <br /> Laurie A.Cotulla,R.E.H.S. Fax: 464-0138 Robert McClellon,R.E.H.S. <br /> Fax: ( ) Mark Barcellos,R.E.H.S. <br /> Program Manager <br /> UNIFIED PROGRAM HAZARDOUS WASTE INSPECTION REPORT <br /> a <br /> Facility Name <br /> Address <br /> State CA-Zip Code <br /> City <br /> r �,nc Industry Type_ <br /> EPA I.D.Number - <br /> Phone L/f. <br /> Facility Contact <br /> rtu Title , _ `l <br /> Consent Given By�-i flw Title <br /> Inspection Dates) ZaInspection Type (circle): Routine Complaint Follow-Up <br /> REPRESENTATIVES PRESENT <br /> Name Title Organization <br /> one or more <br /> ions of the California <br /> This report may identify conditions observed this day that of Regulations,are tiTitle 22 (22to be violations fCCR) relating totthe management of <br /> Health and Safety Code (HSC) or the California Code <br /> hazardous waste. The violations may be described iortyou may detail <br /> After completing the <br /> be informed of additional violations. <br /> evaluation of the information obtained during the inspection,y Y <br /> If any violations are noted,the facility is required to submit <br /> ed Certification of Return to compliance within 6( <br /> days,unless otherwise specified(A certification form provided). <br /> Failure to correct these violations within the scheduled per'od provided may result in San violations. ssuance of this Inspection uReport does not preclud <br /> Health Department(EHD)citiin County EnvironmentE <br /> ng you for continuing/additionalmiaacts <br /> EHD from taking any administrative,civil or criminal action as a result of the violations noted. <br /> 6 <br /> E&viromental Health Speci s <br /> Received by ADat <br /> Page 1 of <br /> 315/02 <br />