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ENVI O MENTAL HEALTH DEPARTMENT <br /> SAN JOAQUIN COUNTY <br /> Unit Supervisors <br /> a, Donna K.Her n,R.E.H.S. <br /> 304 East Weber Avenue, Third Floor Carl Borgman,R.E.H.S. <br /> Dire or <br /> rr` Mike Huggins,R.E.H.S.,R.D.I.Al Olsen, E.H.S.. Stockton, California 95202-2708 <br /> Tom: Douglas W.Nilson,R.E.H.S. <br /> cq�iFORac Program anagen Telephone: (209) 468-3420 Margaret Lagorio,R.E.H.S. <br /> Laurie A.Cot la,R.E.H.S. <br /> Program anager Fax: (209) 464-0138 Robert McClellon,R.E.H.S. <br /> 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 2 Industry Typet2 <br /> 1-62CFacility Contac ' Title�JCI,,�(1 Phone71-62- <br /> Consent <br /> onsent Given By �' Title <br /> Inspection Date(s) 0 Inspection Type (circle): (Rou�fin Complaint Follow-Up <br /> REPRESENTATIVES PRESENT <br /> Name Title Organizatiorj <br /> _ o <br /> This report may identify conditionsl observed this day that are alleged to be violations of one or more sections of the California <br /> Health and Safety Code (HSC) r the California Code of Regulations, Title 22 (22 CCR) relating to the management of <br /> hazardous waste. The violIyu <br /> ay be described in more detail on the attached note sheets. After completing the <br /> evaluation of the information during the inspection, you may be informed of additional violations. <br /> If any violations are noted, ity is required to submit a signed Certification of Return to Compliance within 60 <br /> days, unless otherwise specertification form is provided). <br /> Failure to correct these violahin the scheduled period provided may result in San Joaquin County Environmental <br /> Health Department (EHD)citior continuing/additional violations. Issuance of this Inspection Report does not preclude <br /> EHD from taking any adminisvil or criminal action as of violati n ed. <br /> Envir amental FFealth Specialist Received by Date <br /> 3/5/02 Page 1 of <br />