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PUBLIC HEALTH SERIICES <br /> SAN JOAQUIN COUNTY <br /> r. <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 a Stockton, CA 95201-0388 c4<ikan'`P <br /> 209/468-3420 <br /> a HAZARDOUS WASTE INSPECTION REPORT <br /> Facility Namef ( S AI / f` `7' 0 <br /> Address n X r�S ,_ �G�it a'-, <br /> City Stl -D`"• c� State CA Zip Code S��S <br /> EPA I.D.Number rl— n g � a O 71 7X <br /> Facility Contact E06 Phone <br /> Consent Given By S <br /> Inspection Date(s) ­9 _7 Inspection Type (circle . Routi Complaint Follow-Up <br /> REPRESENTATIVES PRESENT <br /> Name Title Organization <br /> M I f.I AZY, 467 <br /> 6 ld��s a c ILS <br /> nT �( u1M PYA nI!nom?? h <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 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 <br /> Inspection Report does not preclude PHS-EHD from taking any admini ative, ci it or criminal action as a result of the <br /> violations noted. <br /> Registered Environmental Health Specialist Received by Date <br /> /I <br /> 12/9/94 Page 1 of 'G <br /> A Division of San Joaquin County Health Care Services <br />