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02/,08/2005 15: 18 2094683433 FIFTH FLOOR PAGE 04 <br /> ENVI ONMENTAL HEALTH DEPARTMENT <br /> SAN JOAQUIN COUNTY <br /> s _ IJnir supen'isors <br /> z, Donna X.Hera ,PL-E.H.S. 304 East� Weber Avenue, Third Floor Carl Borgrnan,R.E-T4.S- <br /> �' ` Direct r Mikc Huggins,R-E.H.S_,R.D.I. <br /> At Olsen,RE-H.S. Stockton, California 95202-2708 Douglas W.Wilson,R.E,H.s. <br /> Program M pager Telephone: (209) 468-3420 Margaret Lsgorio,R.E.TH.S. <br /> QC/F"q <br /> o Laurie A.Cotut a,A.E.H.S. <br /> Fay: (209) 464-0138 Robert M rcell on,R.E.iI.S. <br /> Program r Hager Mark Barcellos, <br /> UNIFIED PROGRAM HAZARDOUS WASTE INSPECTION REPORT <br /> Facility Name <br /> Address l l� <br /> City State CA Zip Code �,� -� <br /> EPA I.D.Number Industry Type 644cs��� <br /> Facility ContactTitle Phone, <br /> Consent Given By Title <br /> Inspection Date(s)� 6 Inspection Type (circle): Routine. Complaint Follow-Up <br /> REPRESENTATIVES PRESENT <br /> Name Title OAAr�nization <br /> This report may identify conditio s 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 obt ined 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 speciti d (Acertification 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 ou for continuing/additional violations. Issuance of this Inspection Report does not preclude <br /> EHD from taking any edministrat 1v <br /> e,civil or criminal action as a result of the violations noted. <br /> r <br /> n4irona Health SpecialistRecei ed by D <br /> 3/S/02 Page 1 of <br />