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NV L DEPARTMENT <br />Pail" <br />'SAN JOA UIN COUNTY Unit. Supervisors <br />'"% ?� Donna K. Heran, R.E.H.S. Third Floor Carl Borgman, R.E.H.S. <br />q: 304 East Weber Avenue, Mike Huggins, R.E.H.S., R.D.I. <br />m: (( Director <br />'• 1� Al Olsen, R.E.H.S. Stockton, California 95202-2708 Douglas W. Wilson, R.E.H.S. <br />• �. ;P Program Manager Telephone: (209) 468-3420 Margaret Lagorio, R.E.H.S. <br />Q4i FOR`' Laurie A. Cotulla, R.E.H.S. Fax: (209) 464-0138 Robert McClellon, <br />Program Manager Mark Barcellos, R.E.H.S. <br />UNIFIED PROGRAM HAZARDOUS WASTE INSPECTION REPORT <br />Facility Name <br />Address C, C <br /><i <br />City � n�� � State Zip Code <br />` oz, c <br />EPA I.D.Number �� (�(�i� —Industry Type <br />'�._. Phone��� <br />Facility Contact � I ��'�'� l`��`� Title G `����" � � � � <br />a� 11 <br />Title <br />Consent Given By <br />Inspection Type (circle): Routine Complaint Follow -Up <br />Inspection Date(s) <br />e_ <br />REPRESENTATIVES PRESENT <br />Name <br />Title Organization <br />1- <br />of the California <br />This report may identify conditions observed this day that are <br />e of Regulations, Title 22 (22to be violations fCCR) relating toone or more tthe management of <br />Health and Safety Code (HSC) or the California Cod <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 <br />period <br />iolafonprovide <br />assuance of this Inspection not preclude <br />in County Environmental <br />Health Department (EHD) citing you for continuing/additional <br />EHD from taking any administrative, civil or criminal action as a result of the violations noted. <br />t 1Date <br />Environmental Health Specialist Rec ived by <br />Page 1 of <br />315/02 <br />