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PUBLIC HEALTH SERVICES <br /> Z:' <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DMSION 4 1 <br /> Karen Furst, M.D., M.P.H., Heaith 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 S <br /> Address 3301 W. KICIVOkle, <br /> City 4jbzj � n_ State CA Zip Code Q5a15 <br /> EPA I.D.Number 0 g ) l <br /> Facility Contact tip q(A K)0✓�G Phone <br /> Consent Given By w <br /> Inspection Date(s) I � -rel Inspection Type (circle): outine Complaint Follow-Up <br /> REPRESENTATIVES PRESENT <br /> Organization <br /> Name Title num �l� <br /> p—V l <br /> Alan unmjn�10106A <br /> MAtyt r. l�h iV1 C/ <br /> -7 <br /> I A/ I,n l fL <br /> In I�t � <br /> to be <br /> ations <br /> one or more <br /> ons of the <br /> a. <br /> This report may identify e (HSC) or the California aC de of Regulations, Title 22 (22fCCR) relating totlthe managementno, <br /> Health and Safety Code (HSC) <br /> hazardous waste. The violations may be described in more detail on the attached note sheets. After completing tine <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 6C <br /> days, unless otherwise specified (A certification form is provided). <br /> hedule <br /> eriod <br /> may result in San Joaquin County <br /> Slic He-al. <br /> ervices-Environmental Health Division l(PHS-EHD) citing n the scpyou orpcontinuing/additional violations. issuance of thisbnsp=_cher <br /> Report does not preclude PHS-EHD from taking any administrative,civil or criminal a tion as a result of the violations noted. <br /> 00 <br /> Received by Date <br /> Environmental Health ecialIs <br /> Page 1 of,� <br /> 1219/98 <br />