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' SAN V A UIL\ COUNTY\T <br /> Unit Supervisors <br /> Donna K.Heran,R.E.H.S. Carl Borgman,R.E.H.S. <br /> N: :< 304 East Weber Avenue, Third Floor <br /> Director 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 /> • .', rP Manaer <br /> Program Pro <br /> q � g g . Telephone: (209) 468-3420 IVlargaret Lagorio,R.E.H.S. <br /> ti F os Laurie A.Cotulla,R.E.H.S. Fax: (209) 464-0138 Robert McClellon,R.E.H.S. <br /> Program Manager Mark Barceilos,R.E.H.S. <br /> UNIFIED PROGRAM HAZARDOUS WASTE INSPECTION REPORT <br /> Facility Name C �`��� <br /> Address 1 AA'('Ke' <br /> ,L 1 State QA-Zip Code �20 <br /> City <br /> EPA I.D.Number L � � Industry Type J rM <br /> Facility Contact <br /> aVCf `ZTitle. � '�c1 Phone ? <br /> Consent Given By <br /> Title <br /> Inspection Date(s) <br /> (� ®L Inspection Type (circle): outing Complaint Follow--UP ' <br /> REPRESENTATIVES PRESENT <br /> Name Title Organization <br /> t o Cl <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 violations. Issuance of this Inspection Report does not preclude <br /> EHD from taking any administrative,civil or criminal action as a result of the violations noted. <br /> Received by Date <br /> Environmental Health Specialist <br /> Page 1 of <br /> 3/5/02 <br />