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P UBLIC HEALTH SERVICES <br /> SAN JOAQUIN COUNTY t. <br /> ENVIRONMENTAL HEALTH DIVISION <br /> Karen Furst, M.D., M.P.H., Health Officer <br /> 304 East Welber Avenue, Third Floor • Stockton, CA 93202 <br /> 209/468-3420 <br /> UNIF}ED.PROGRAM HAZARDOUS WASTE INSPECTION REPORT <br /> Facility Name _ <br /> Cl 11U rl cam S C' -v <br /> Address <br /> State CA Zip Code <br /> City <br /> EPA I.D.Number <br /> Facility Contact U �- Phone <br /> Consent Given By <br /> Inspection Date(s) r R Inspection Type (circle): (o_utinl Complaint Follow-Up <br /> REPRESENTATIVES PRESENT <br /> . Title )rganization � <br /> tn1l <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 /> Date <br /> Environmental Health Speciali Received by <br /> Page 1 of <br /> 1219/98 <br /> A Division of San Joaquin coanri Heaich Care Services <br />