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PUBLIC HEALTH SERV CESo�a�+N...� <br /> SAN JOAQUIN COUNTY r''' ' <br /> ENVIRONMENTAL HEALTH DIVISION <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 pixcr� <br /> Address ► �}� <br /> City State CA Zip Code Cl <br /> EPA I.D.Number <br /> Facility Contact &S Phone �20 CJ_— <br /> Consent Given By (�v V' .ir <br /> Inspection Date(s) — �� Inspection Type (circle): Routine Complaint Follow-Up <br /> REPRESENTATIVES PRESENT <br /> ,-Name s Title Organiz`; ion <br /> S' F- S <br /> This report may identity conditions observed this day that are alleged to be violations of one or more sections of the Caiifornia <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 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 Inspection <br /> Report does not preclude PHS-EHD from taking any administrative,civil or criminal action as a result of the violations noted. <br /> Environmental Health Specialist Received by Date <br /> 1219198 Page 1 o <br /> A Division of San Joaquin County Healrh Care Services <br />