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ENVI ONMENTAL HEALTH DEPARTMENT <br /> SAN JOAQUIN COUNTY <br /> s, _sof•..pG Unit Supervisors <br /> Donna K.Hera ,R.E.H.S. Carl Borgman,R.E.H.S. <br /> a 304 East Weber Avenue, Third Floor <br /> Direct r Mike Huggins,R.E.H.S.,R.D.I. <br /> =' AI Olsen,R E.H.S. Stockton, California 95202-2708 Douglas W.Wilson,R.E.H.S. <br /> �.. Program A4 inager Telephone: (209) 468-3420 Margaret Lagorio,R.E.H.S. <br /> 9�iFo.iii`, Robert McClellon,R.E.H.S. <br /> Laurie A.Cotul a,R.E.H.S. Fax: (209) 464-0138 <br /> Program M pager Mark Barcellos,R.E.H.S. <br /> UNIFIED ROGRAM HAZARDOUS WASTE INSPECTION REPORT <br /> Facility Name <br /> Address <br /> City State CA-Zip Code <br /> EPA I.D.Number Industry Type && <br /> Facility Contact - Title; . _PhoneZ7-�f� <br /> Consent Given By <br /> 0 Title <br /> Inspection Date(s) 6 Inspection Type (circle): Routine Complaint Follow-Up <br /> REPRESENTATIVES PRESENT <br /> Name Title e Or nization <br /> � d <br /> This report may identify conditio 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 violatio s may be described in more detail on the attached note sheets. After completing the <br /> evaluation of the information obt fined 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 specifi d (A certification form is provided). <br /> Failure to correct these violatio s 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 administrat e, civil or criminal action as a result of the violations noted. <br /> � r <br /> Recei ed by D <br /> nviroWea alth Specialist 2 <br /> Page 1 of <br /> 3/5/02 <br />