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PUBLIC HEALTH SERVICES <br /> SAN JOAQUIN COUNTY r' <br /> ENVIRONMENTAL HEALTH DIVISION <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 /> Facility Name (14 <br /> Address • "".��i`, 7, �4S f P <br /> City �S-fy C Il j792't/ State CA Zip Code �an!�� <br /> EPA I.D.Number p <br /> Facility Contact t Phone <br /> Consent Given By I C' YV1 or <br /> Inspection Date(s) /3-7-66 Inspection Type (circle): Routine, Complaint Follow-Up <br /> 1✓ 9'� / REPRESENTATIVES PRESENT <br /> Na e CC Title}}- Organization <br /> Cc C <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 vironmental Health Spefia9t Received by Date <br /> 12/9/98 Page 1 of <br /> A Division of San Joaquin County HmIth Care Services <br />