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ENVIRONMENTAL EA DEPARTMENT <br /> S J AUI COUNTY <br /> �o �o Unit Supervisors <br /> af� ?{ Donna K.Heran,R.E.H.S. 304 East Weber Avenue, Third Floor Carl Borgman,R.E.H.S. <br /> m. .. Director Mike Huggins,R.E.H.S.,R.D.I. <br /> Al Olsen,R.E.H.S. Stockton, California 95202-2708 Douglas W.Wilson,R.E.H.S. <br /> • '`, - r�P Program Manager Telephone: (209) 468-3420 Margaret Lagorio,R.E.H.S. <br /> 4�i FLaurie A.Cotulla,R.E.H.S. Robert McClellon,R.E.H.S. <br /> Program Manager FaX: (209) 464-0138 Mark Barcellos,R.E.H.S. <br /> UNIFIED PROGRAM HAZARDOUS WASTE INSPECTION REPORT <br /> Facility Name <br /> Address <br /> City ® State CA_Zip Code <br /> EPA I.D.Number ,�Q ®A5` ® Industry Type <br /> Facility Contact tkA� Title- Phone`�S\-l9 <br /> 000 <br /> Consent Given By Title <br /> Inspection Date(s) a- _Inspection Type (circle): outi Complaint Follow-Up <br /> REPRESENTATIVES PRESENT <br /> Name Title Organization <br /> RNP <br /> s y _ <br /> 1DIabr, <br /> This report may identify conditions 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 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 60 <br /> days,unless otherwise specified(A certification 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 you for continuing/additional violations. Issuance of this Inspection Report does not preclude <br /> EHD from taking any administrative,civil or criminal action as a result of the violations noted. <br /> —°F o <br /> Env nme �iarist�� Received by Da e <br /> 3/5/02 Page 1 of <br />