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UNIFIED PROGRAM HAZARDOUS WASTE INSPECTION REPORT <br />Facility Name <br />Address <br />City ���� <br />State CA Zip Code �ZL <br />EPA I.D.Numtier �� 3 Industry Type <br />� �(����� _����- �`�`1. 1�5� <br />Facility Contact Title Phone <br />Consent Given By <br />1' Title I ( <br />Inspection Date(s) ` 3� Inspection Type (circle): Routine Complaint Follow -Up <br />REPRESENTATIVES PRESENT <br />Title Organization <br />Name�.� <br />ICY rLL t/ <br />t <br />of the California <br />This report may identify conditions observed this day that <br />legations, Title to be tions (22f CCR) relating toone or more <br />the management of <br />Health and Safety Code (HSC) or the California C of Regulations, <br />hazardous waste. The violations may be described in m you may be informedteattachedof additional violations After completing the <br />evaluation of the information obtained during the inspection, Y <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 />in County Environmental <br />Failure to correct these violations within the scheduled Pel Iod violatio idedmay result in San ssuance of this nspectionuReport does not preclude <br />Health Department (EHD) citing you for continuing/additiona <br />EHD from taking any administrative, civil or criminal action as a r It of the violations noted. <br />Received by Date <br />Environmental Health Specialist <br />Page 1 of <br />3/5/02 <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />'SAN <br />JOAQUIN COUNTY <br />Unit Supervisors <br />2:''`_ '•? <br />_ Donna K. Heran, R.E.H.S. <br />304 East Weber Avenue, Third Floor <br />Carl Borgman, R.E.H.S. <br />Mike Huggins, R.E.H.S., R.D.I. <br />' • <br />Director <br />Al Olsen, R.E.H.S. <br />Stockton, California 95202-2708 <br />Douglas W. Wilson, R.E.H.S. <br />• .. - `P. <br />Program Manager <br />Telephone: (209) 468-3420 <br />Margaret Lagorio, R.E.H.S. <br />Robert McClellon, R.E.H.S. <br />'FOR`' <br />Laurie A. Cotulla, R.E.H.S. <br />Fax. (209) 464-0138 <br />Mark Barcellos, R.E.H.S. <br />Program Manager <br />UNIFIED PROGRAM HAZARDOUS WASTE INSPECTION REPORT <br />Facility Name <br />Address <br />City ���� <br />State CA Zip Code �ZL <br />EPA I.D.Numtier �� 3 Industry Type <br />� �(����� _����- �`�`1. 1�5� <br />Facility Contact Title Phone <br />Consent Given By <br />1' Title I ( <br />Inspection Date(s) ` 3� Inspection Type (circle): Routine Complaint Follow -Up <br />REPRESENTATIVES PRESENT <br />Title Organization <br />Name�.� <br />ICY rLL t/ <br />t <br />of the California <br />This report may identify conditions observed this day that <br />legations, Title to be tions (22f CCR) relating toone or more <br />the management of <br />Health and Safety Code (HSC) or the California C of Regulations, <br />hazardous waste. The violations may be described in m you may be informedteattachedof additional violations After completing the <br />evaluation of the information obtained during the inspection, Y <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 />in County Environmental <br />Failure to correct these violations within the scheduled Pel Iod violatio idedmay result in San ssuance of this nspectionuReport does not preclude <br />Health Department (EHD) citing you for continuing/additiona <br />EHD from taking any administrative, civil or criminal action as a r It of the violations noted. <br />Received by Date <br />Environmental Health Specialist <br />Page 1 of <br />3/5/02 <br />