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PUBLIC kSER' ICES <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 • Stockton, CA 95201-0388 <br /> 209/468-3420 <br /> HAZARDOUS WASTE INSPECTION REPORT <br /> Facility Namec��c��ca <br /> AddressE S G�� Cts <br /> City State CA Zip Code 9,S-Z o�a <br /> EPA I.D.Number . cl/+ <br /> Facility Contact i�ca�cl"' Phone X18 --I q 5 C, <br /> Consent Given By k c1 c cHu s <br /> Inspection Date(s) Gc,`f` ,,__ 1922 Inspection Type (circle). R:o �tin6 Complaint Follow-Up <br /> REPRESENTATIVES PRESENT <br /> Name Title Organization <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 administrative, civil or criminal action as a result of the <br /> violations noted. <br /> ,4 <br /> e2s red En iro mLal ealth Specialist Received by Date <br /> 12/9/94 Page 1 of 4k <br /> A Division of San Joaquin County Health Care Services <br />