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PUBLIC HEALTH SERVICES <br /> SAN JOAQUIN COUNTY r z <br /> ENVIRONMENTAL HEALTH DIVISION " <br /> Karen Furst, M.D., M.P.H., Health Officer <br /> Cj,'C/FORN`P <br /> 304 East Weber Avenue, Third Floor • Stockton, CA 95202 <br /> 209/468-3420 <br /> UNIFIED PROGRAM HAZARDOUS WASTE INSPECTION REPORT <br /> Facility Name Amami CIS 11 re av d -FD w <br /> Address S p o . BD?c ` DD <br /> City V r W W COLM40 State CA Zip Code 1 � <br /> EPA I.D.Number CAL () 00 q(0&) <br /> Facility Contact ,)" RM0-kh Ddl Phone UD 1ggZ.-I_m4 <br /> Ij <br /> Consent Given By 30w G1,ylo'o k nA <br /> Inspection Date(s) �a-o��-�Cl Inspection Type (circle): outine Complaint Follow-Up <br /> REPRESENTATIVES PRESENT <br /> Name Title Organization <br /> 'Dw(U,)(- jk.M.ej�tCa ti► re 0_Aqrl.Tavy <br /> • ��1-E.S. STC — Y1VI rQAYY1e4ltaP PtCOLLt k <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 /> A . 12-1-2 0 <br /> Environmental Health pe ialist Received by Date <br /> 12/9/98 Page 1 of 5 <br /> A Division of San Joaquin Counry Health Care Services <br />