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PUBLIC HEALTH SERVICES <br />SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DIVISION <br />Facility Name <br />Karen Furst, M.D., M.P.H., Health Officer <br />304 East Weber Avenue, Third Floor • Stockton, CA 95202 <br />209/468-3420 <br />UNIFIED PROGRAM HAZARDOUS WASTE INSPECTION REPORT <br />2.1 <br />IV. <br />Address 0VLG CP <br />City <br />'�l' State CA Zip Code <br />n /�(� <br />EPA I.D.Number CA b 99-a 4119 <br />`^ ,��' rJ <br />Facility Contact Don- ��h el - <br />Phone <br />Consent Given By Dofq <br />p— , t � Inspection Type (circle):(AAoufine)Complaint Follow-Up <br />Inspection Date1`t <br />Date(s) l5 <br />REPRESENTATIVES PRESENT <br />_ organization <br />T ti,r� <br />1,1 1 1��• <br />This report may identify conditions observed this a Code are of Regulattiiion , Title/ations 22 (22 fone or more CCR) relating totlons of the the management 07 <br />Health and Safety Code (HSC) or the California C 9 <br />attachedmore detail on the <br />hazardous waste. The violations may be described in tion PHS EHD may info m y uof additional Violations. <br />completing the <br />evaluation of the information obtained during the inspe , <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 provid <br />Services -Environmental Health Division (PHS-EHD) citing you for contij' <br />Report does not preclude PHS-EHD from taking any administrative, ' it <br />` eceived by <br />Environmental Hea th Speciali <br />12/9/98 <br />may result in S Joaquin County PUUIf <br />t1g/additional v ations. Issuance of this Inspectio,- <br />criminal aft n as a 'aat of the violations noted. <br />A Di -.;.ion of 5- Joaquin Counry Hcalch Care Services <br />Date <br />Page 1 of <br />