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PUBLIC HEALTH SERVICES ,oaco <br /> 2: 1 <br /> SAN JOAQUIN COUNTY el <br /> ENVIRONMENTAL HEALTH DIVISION <br /> Karen Furst, M.D., M.P.H., Health Officer ��.. <br /> �IFpRN <br /> 304 East Weber Avenue,Third Floor • Stockton, CA 95202 <br /> 209/468-3420 <br /> UNIFIED PROGRAM HAZARDOUS WASTE INSPECTION REPORT <br /> Facility Name J ► 1� O �° <br /> Address q <br /> City Lo State CA Zip Code l Z� <br /> EPA I.D.Numberr L Cc- n 2- ()-S I I 2 <br /> Facility Contact �L_� Phone <br /> Consent Given By t <br /> ��� i C 1 o t3 4 <br /> Inspection Date(s) Inspection Type (circle): Routin Complaint Follow-Up <br /> REPRESENTATIVES PRESENT <br /> Name Title k Orga E ati n <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, PHS-EHD may inform you 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 Public Health <br /> Services-Environmental Health Division (PHS-EHD) citing you for continuing/additional violations. Issuance of this Inspection <br /> Report does not preclude PHS-EHD from taking any administrative,civil or criminal action as a result of the violations noted. <br /> E!ne <br /> vironmental Health Specialist eceived by Dat <br /> 12/9/98 Pagel of <br /> A Division of San Joaquin County Health Carc Scrvims <br />