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PUBLIC HEALTH SERVICES �apAHl f., <br /> �a Fo <br /> SAN JOAQUIN COUNTY a <br /> ENVIRONMENTAL HEALTH DMSION <br /> Karen Furst,M.D.,M.P.H., Health Officer <br /> 304 East Weber Avenue,Third Floor•Stockton,CA 95202 *ctaeti~� <br /> 209/468-3420 <br /> UNIFIED PROGRAM HAZARDOUS WASTE INSPECTION REPORT <br /> mUN <br /> Facility Na <br /> e 1)G ZA4 0(& <br /> ,, <br /> Address /�I oS /, ( (hhr/ I) q <br /> City 44State CA Zip Code <br /> EPAI.D.Number d 02 1 q U 3�b q(A) <br /> Facility Contact -I�MqjG e 1 I /r 11 YC L I Phone M d 32 36 3 b <br /> Consent Given By r U <br /> Inspection Date(s) Inspection Type (circle): outi Complaint Follow-Up <br /> REPRESENTATIVES PRESENT <br /> Name Titl aniz Ion <br /> 67 <br /> a <br /> may identify conditions observed this day that are alleged to be violations of one or more sections of the California <br /> Safety Code (HSC) or the California Code of Regulations, Title 22 (22 CCR) relating to the management of <br /> waste. The violations may be described in more detail on the attached note sheets. After completing the <br /> 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 specked(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 /> Servi s-Environmental Health Division(PHS-EHD)citing you for continuing/additional violations. Issuance of this Inspection <br /> Repo does not eclude PHS-EHD from taking any administrative,civil "urinal action as a result of the violations noted. <br /> DO <br /> ironmental Health Specialist ceived y i0e7 <br /> 12/9/98 Page 1 of_ <br /> A Division of San Joaquin County Health Care Services <br />