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Environmental Health - Public
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EHD Program Facility Records by Street Name
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2200 - Hazardous Waste Program
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PR0517868
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COMPLIANCE INFO
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Last modified
11/22/2024 4:36:49 PM
Creation date
6/23/2020 6:32:50 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2200 - Hazardous Waste Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0517868
PE
2227
FACILITY_ID
FA0005677
FACILITY_NAME
Sears #1288/6791
STREET_NUMBER
5110
STREET_NAME
PACIFIC
STREET_TYPE
Ave
City
Stockton
Zip
95207
CURRENT_STATUS
01
SITE_LOCATION
5110 Pacific Ave
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\HW\HW_2227_PR0517868_5110 PACIFIC_.tif
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EHD - Public
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Y <br />• • <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />Y <br />SAN JOA COUNTY Unit Supervisors <br />' < <br />Donna K. Heran, RE.H.S. Cart Bgins, R. R.E.H.S. <br />304 East Weber Avenue, Third Floor Mike Huggins, R.E.H.S., R.D.I. <br />a: �' •~ <br />• <br />Director <br />Al Olsen, R.E.H.S. Stockton, California 95202-2708 Douglas W. Wilson, R.E.H.S. <br />•.•., -- �P <br />Program Manager Telephone: (209) 468-3420 Margaret Lagorio, R.E.H.S. <br />McClellon, R.E.H.S. <br />4C� FORS <br />R.E.H.S. <br />Laurie A. Cotulla, Fax: (209) 464-0138 Mark Barcellos, R.E.H.S. <br />Program Manager <br />HAZARDOUS WASTE INSPECTION REPORT <br />UNIFIED PROGRAM <br />Facility Name <br />Address <br />City <br />A State C& Zip Code <br />EPA I.D.Number <br />,Z 3 q_32.,Industry Type t° vt <br />Facility Contact <br />1AL <br />(► Title: T,�,�, 4 ..Phone <br />Consent Given By �n �" �'� Title <br />Inspection Dates _Inspection Type (circle): outin Complaint Follow -Up <br />REPRESENTATIVES PRESENT <br />N e Title organizr'ati/o�n <br />one or more <br />ons of the <br />iE <br />This report may identify conditions observed this day that are e of Regulations, Title 22 (22ed to be violations fCCR) relating to managementno' <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 6( <br />days, unless otherwise specified (A certification form is provided). <br />in County Environment,, <br />Failure to correct these violations within the scheduled <br />period <br />violations provided <br />Issua resultof this nspectionuReportdnes not preclud <br />Health Department (EHD) citing you for continuing/additional <br />EHD from taking any administrative, civil or criminal action as a result of vi b ns noted. <br />� U <br />Environmental ealth Spec ist <br />Receiv y Da�.e <br />Page 1 of <br />3/5/02 <br />
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