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ENVIBLONMENTAL HEALTH DEPARTMENT <br /> SAN JOAQUIN COUNTY Ullit SliperviSors <br /> Borgrnan,R.E.H.S. <br /> Carl <br /> 4; <br /> Third Floor <br /> Donna K.Hera i,R.E.H.S. <br /> 304 East Weber Avenue, Nlik-e I-luclains,R.E.H.S.,R.D.I. <br /> Director E.H <br /> 1 -2708 Douglas W.Wilson,R. S. <br /> Al Olsen,B.E.H.S. Stockton, California 95202 Margaret Lagorio,R.E.H.S. <br /> Program 1�janager Telephone: (209) 468-3420 R.E.H.S. <br /> Robert McClellon <br /> ti'96-0' Laurie A.Cotul la,R.E.H.S. Fax: (209) 464-0138 Mark Barcellos,R.E.H.S. <br /> Program 14anager <br /> UNIFIED PROGRAM HAZARDOUS WASTE INSPECTION REPORT <br /> Facility Name <br /> Address <br /> State CIA-Zip Code <br /> City <br /> EPA I.D.Numb.er— Industry Type_ PhonWK't S-1�9 ' <br /> Facility Contact—KOAD-na <br /> Title <br /> Consent Given By <br /> Inspection Date(s)—lAC114 —inspection Type (circle): outine Complaint Follow-UP <br /> REPRESENTATIVES PRESENT <br /> Title Organization <br /> Name <br /> r k <br /> MLAh(LWy,y�6vA <br /> re alleged to be violations of one or more sections of the California <br /> This report may identify co ditions observed this day that a ns, Title 22 (22 CCR) relating to the management of <br /> Health and Safety Code (11SC) or the California Code of Regulatio n the attached note sheets. After completing the <br /> hazardous waste. The vblations may be described in more detail o additional violations. <br /> evaluation of the informatio-i obtained during the inspection,you may be informed of <br /> If any violations are noted,the facility is required to submit a signed Certification of Return to compliance within W <br /> days,unless otherwise specified (A certification form is provided). in San Joaquin County Environmental <br /> ations within the sceuled period provided may result <br /> Failure to correct these v ol hd <br /> Denal violations. issuance of thisnoted.Inspection Report does not preclude <br /> Health partment(EHD)citing you for continuing/additional <br /> EHD from taking any administrative, civil or criminal action as a result of the violations <br /> 41 <br /> Date <br /> Environmental <br /> Environmental Health Specialist Received b <br /> Page I'cjf <br /> 3/5/02 <br />