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PUBLIC HEALTH SERVICES <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DIVISION <br /> Karen Furst, M.D., M.P.H., Health Officer • `�tiFoa :P <br /> 304 East Weber Avenue, Third Floor • Stockton, CA 95202 <br /> 209/468-3420 <br /> UNIFIED PROGRAM HAZARDOUS WASTE INSPECTION REPORT <br /> 0 <br /> I I <br /> Facility Name /�� <br /> Address ,3 �' N N �� �y t� _ <br /> City ` ��DG �� ` �� State CA Zip Code /V <br /> EPA I.D.Number f <br /> Facility Contact V 1. cr 1A _Phon� �r � 4 f S^ > <br /> Consent Given By <br /> Inspection Date(s) 40'5_D Inspection Type (circle): Routine omplaint Follow-Up <br /> REPRESENTATIVES PRESENT <br /> Name TitleArganization <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 ironmental Health Spec i Rec ived by Date <br /> Page 1 of_ <br /> 12/9/98 <br /> A Division of San Joaquin County Health Care Services <br />