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PUBLIC HEALTH SERVICES �oPA�IN... <br /> .o <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DIVISION <br /> Karen Furst, M.D., M.P.H., Health Officer .. <br /> 304 East Weber Avenue, Third Floor• Stockton, CA 95202 <iFORN p <br /> 209/468-3420 <br /> UNIFIED PROGRAM HAZARDOUS WASTE INSPECTION REPORT <br /> Facility Name - <br /> Address q/ -7/ <br /> City /� q C� /' State CA Zip Code /.53/6 <br /> EPA I D Number OP L Dy 3t e b 4(Al e <br /> Facility Contact l)Y1't�t f t) ) MefC (M Phone eM, o S2 363 � <br /> Consent Given By m ej D e rw u <br /> Inspection Date(s) ( s of Inspection Type (circle): 6�`Complaint Follow-Up <br /> REPRESENTATIVES PRESENT <br /> Name Titl O aniza ion <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 durin 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 /> Servic 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 minal action as a result of the violations noted. <br /> 11,4-1t,C7 <br /> ironmental Health Specialist ceived y to <br /> 12/9/96 Page 1 of <br /> A Division of San Joaquin County Health Care Services <br />