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w <br /> PUBLIC HEALTH SERVICES <br /> SAN JOAQUIN COUNTY T' ;. <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 RndUA SO I rt-SS <br /> Address c o6D,C— Loutsp AV42.,V .Q <br /> city -�-' �� State CA Zip Code 953-30 -%C) <br /> EPA I.D.Number CAL 000 1 -1 <br /> Facility Contact pwil N'Cayd Phone 5g -55� <br /> Consent Given By <br /> Inspection Date(s) �-2�0`��� Inspection Type (circle): Routine Complaint Follow-Up <br /> REPRESENTATIVES PRESENT <br /> Name Title � Orga9ation <br /> ri <br /> k� oow �S <br /> ac)od RNs - ��}i �r <br /> dr <br /> This report may identify conditions observed this day that are alleged to be violations of one or more sections of the Ca!iforn12 <br /> Health and Safety Code (HSC) or the California Code of Regulations, Title 22 (22 CCR) relating to the management o <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 Heal"n <br /> Services-Environmental Health Division (PHS-EHD) citingyou for tinuing/additional violations. Issuance of this Inspection <br /> Report does not preclude PHS-EHD from taking any administrati it or criminal actio as a result of the violations noted. <br /> nvironmental Heal h pecialis <br /> Received by Date <br /> Page 1 of <br /> 12/9/98 <br /> A Division oFSan Joaquin County Health Care Services <br />