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PUBLIC HEALTH SERVICES <br />SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DIVISION <br />Ernest M. Fujimoto, M.D., M.P.H., Acting Health Officer <br />304 E.Weber Ave., 3rd Floor • P. O. Box 388 • Stockton, CA 95201-0388 <br />209/468-3420 <br />HAZARDOUS WASTE INSPECTION REPORT <br />Facility Name o M., 11 <br />Address <br />City State CA Zip Code g z � &( <br />EPA I.D.Number LZ <br />Facility Contact ELAl —Phone z `7 �- <br />Consent Given By t.4c_1Z F2 - <br />Inspection <br />Inspection Date(s) 3�Z2 (' Inspection Type (circle): Routin Co��I��intFollow-Up <br />REPRESENTATIVES PRESENT <br />Name Title <br />C -J 4 1 A <br />alo. <br />Organization <br />e l -{S - E-- H'4D <br />This report may identify conditions observed this day that are alleged to be violations of one or more sections of the <br />California Health and Safety Code (HSC) or the California Code of Regulations, Title 22 (22 CCR) relating to the <br />management of hazardous waste. The violations may be described in more detail on the attached note sheets. After <br />completing the evaluation of the information obtained during the inspection, PHS-EHD may inform you of additional <br />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 Public Health <br />Services -Environmental Health Division (PHS-EHD) citing you for continuing/additional violations. Issuance of this <br />Inspection Report does not preclude PHS-EHD from taking any administrative, civil or criminal action as a result of the <br />violations noted. <br />Registered Environmental Health Specialist Received by Date <br />12/9/94 <br />A Division of San Joaquin County Health Care Services <br />Page 1 of <br />