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ENVIRONMENTAL HEALTH DEPARTMENT <br />PpU,N SAN UIN T �, <br />Unit Supervisors <br />Z :Z Donna R. Heran, R.E.H.S. <br />u¢i i< 4 East Weber ��-enue, Third )-'loot Car( Borgman, R.E.H.S. <br />�J D recto' e Huggins, R.E.H.S., R.D.I. <br />Al Olsen. R.E.H.S. Stockton, California 95202-21708 D'uglas W. Nilson, R.E.H.S. <br />oq.• ��P Proal -am Afnnn;er Telephone: ('09) 468-3420 Margaret Lagorio, R.E.H.S. <br />FpR Laurie A. Cotulla, R.E.H. . <br />FAX: (209)464-0138 Robert McClellon, R.E.H.S. <br />Pro�nnn titnnn�ef Mark Barcellos, R.E.H.S. <br />UNIFIED PROGRAM HAZARDOUS WASTE INSPECTION REPORT <br />Facility Name r <br />Address `l c <br />City 4od r State CA- Zip Code <br />AA <br />EPA I.D.Numbei��� f 3 Industry Type �. <br />Facility Contact C o c., itle. Phone -367-10 S <br />Consent Given By t r o Title <br />Inspection Dates) 1 Inspection Type (circle): outin Complaint Follow -Up <br />Title <br />l'0 <br />Organization <br />t -i <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 OCR) relating to the managemerr� '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 />Env Amental Walth Specialist <br />Recei ed by Date <br />3/5/02 Pagel of <br />