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PUBLIC HEALTH SERVICES <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DMSION "'• ` < <br /> Karen Furst, M.D., M.P.H., Health Officer <br /> 304 East Weber Avenue, Third Floor• Stockton, CA 95202 Foo <br /> 209/468-3420 <br /> UNIFIED PROGRAM HAZARDOUS WASTE INSPECTION REPORT <br /> Facility Name /� f JIB k m <br /> Address (O W <br /> City State CA Zip Code <br /> EPA I.D.Number <br /> Facility Contact J 0�r l9 (an�ll I Phone <br /> Consent Given By J-6 h U 1 GYIL I( l <br /> Inspection Date(s) �119 Inspection Type (circle): outin omplaint Follow-Up <br /> REPRESENTATIVES PRESENT <br /> Nam Title Organization <br /> �i�ir Crane ll• D�,,wtv�r ��,ryw►r ��� �x��o <br /> This:and <br /> ay identify conditions observed this day that are alleged to be violations of one or more sections of the California <br /> Healafety Code (HSC) or the California Code of Regulations, Title 22 (22 CCR) relating to the management of <br /> hazaaste. The violations may be described in more detail on the attached note sheets. After completing the <br /> evalthe 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 /> Servi s-Environmental Health Division (PHS-EHD) citing you for continuing/additional violations. Issuance of this Inspection <br /> does n reclude PHS-EHD from taking any administrative,civil or criminal action as a result of the violations noted. <br /> lil �� <br /> yr lz <br /> o en ealth Specialist eceived by D e <br /> 12/9/98 Page 1 of <br /> A Division of San Joaquin County Health Care Services <br />