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PUBLICIIEALTH SER MES <br />SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DIVISION <br />Ernest M. Fujimoto, M.D., M.P.H., Acting Health Officer <br />304 E.Weber Ave., 3rd Floor • P. O. Box 388 • Stockton, CA 95201-0388 <br />209/468-3420 <br />'ju <br />Facility Name _ <br />HAZARDOUS WASTE INSPECTION REPORT <br />�lGZot�i NoR-t Hap—N <br />Address (;2) o k <br />City V\ State CA Zip Code 9szos <br />EPA I.D.Number <br />�fma x< <br />Facility Contact'y�gz <br />Consent Given By <br />CAD gS(4 544! <br />V. Con+044- (PR) Cv4Z-ss?_z (g04) <br />,KKg, 1n��iG0. Phone /3IR40-IQSZ <br />Inspection Date(s)I 1Z 4 1/ q 7- Inspection Type (circle): Routine Complaint Follow -Up <br />REPRESENTATIVES PRESENT <br />Name Title Organization <br />j i� 22y tot�Ns i orgy �t uX et S <br />��_;22y �os1-(IoKA `RE�-S `S ,�dcaaut� a <br />This report may identify conditions observed this day that are alleged to be violations of one or more sections of the <br />California Health and Safety Code (HSC) or the California Code of Regulations, Title 22 (22 CCR) relating to the <br />management of hazardous waste. The violations may be described in more detail on the attached note sheets. After <br />completing the evaluation of the information obtained during the inspection, PHS-EHD may inform you of additional <br />violations. <br />If any violations are noted, the facility is required to submit a signed Certification of-Retur to o 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 <br />Inspection Report does not preclude PHS-EHD from taking any administrative, civil or criminal action as a result of the <br />violations noted. <br />(� tk/- <br />istered nvironmental Health Specialist Receivu by Date <br />12/9/94 Page 1 of 4t 5�— <br />A Division of San Joaquin County Health Care Services <br />