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0 <br />PUBLIC HEALTH SERVICES <br />SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DMSION <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 <br />Address <br />City ��Id State CA Zip Code <br />EPA I.D.Number %A Q(po0 Z'1 G –D S— <br />Facility Contact ���©( L� Phone <br />O.0.�U'I,N„ c <br />). 'Fa <br />L' <br />�<%F O.M1ia <br />Consent Given By �(� eL-5 is. <br />Inspection Date(s) 1 Inspection Type (circle):R u In Complaint Follow -Up <br />REPRESENTATIVES PRESENT <br />Name Title Organization <br />c e c ante <br />CAAX�,g P-AwiC� <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 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 <br />Services -Environmental Health Division (PHS-EHD) ci " <br />Rneport does <br />'not preclude PHS-EHD from taking any dm <br />.1I.I �_�.nlIII� S4—, . —4" <br />nvirofimental Health Specialist <br />12/9/98 <br />provided may result in San Joaquin County Public Health <br />r continuing/additional violations. Issuance of this Inspection <br />re. civil or criminal action as a result of the violations noted. <br />I <br />by D to <br />Pagel of <br />A Division of San Joaquin County Health Care Services <br />