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TRENTAL HEA.I�Tu DEPARTMENT <br />ENVIRONMENTAL LINTY " <br />PpU.IN <br />C1FOR <br />Facility Name <br />Donna K. Heran, R.E.H.S. <br />Director <br />Al Olsen, R.E•H.S. <br />Program d4anager <br />Laurie A. Cotulla, R.E.H•S. <br />Program Nfanager <br />SAN JOAQUIN. CO <br />304 East `Veber Avenue, Third Floor <br />Stockton, California 95202-2705 <br />Telephone: (209) 468-3420 <br />Fax: (209) 464-0138 <br />Unit Supervisors <br />Carl Borgman, R.E.H.S. <br />Mike Huggins, R.E.H.S., R.D.l. <br />Douglas W. Nilson, R.E.H.S. <br />Margaret Lagorio, R.E.H.S. <br />Robert 1,,icClellon, R.E.H.S. <br />Mark Barcellos, R.E.H.S. <br />UNIFIED PROGRAM HAZARDOUS WASTE INSPECTION REPORT <br />0 <br />Address �' � <br />State -CA- Zip Code <br />City <br />O Industry Type��� <br />EPA I.D.Number Phone <br />v -\k< itle• <br />�.-•�`�-�--- <br />Facility Contact <br />,�e�� T <br />'� Title <br />Consent Given By -'omplaint Follov�r-Up <br />Inspection Dates) <br />�!\I <br />03 Inspection Type (circle): <br />REPRESENTATIVES PRESENT <br />Title <br />,a - <br />Organization <br />flor <br />this day that are alleged to be violations of one or more sections of the e nlen� <br />This report may identify conditions observedRegulations, <br />Title 22 (22 CCR) relating to the managerne <br />Health and Safety Code (HSC) or the California Code of Reg theattached note sheets <br />violations may be described in .more detail 'on informed of additional v'olations After completing <br />hazardous waste. The the inspection, you may b <br />evaluation of the information obtained during p ned Certification of Return to Compliance withir <br />If any violations are noted, the facility is required to submit a sig <br />days, unless otherwise specified (A certification form is provided)- <br />iolations within the scheduled period provide mayresult in San Joaquin County EnvironmE <br />Failure to correct these v <br />you for continuing/additional violations. Issuanceofmotes Inspection n Rep <br />ort does not rn' <br />ec <br />Health Department (EHD) citing y <br />EHD from taking any administrative, civil or criminal action as a result of the violations <br />Date <br />ei y <br />iron to H I Specialist <br />Page 'I of <br />