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PUBLIC HEALTH SERVICES <br /> 2:' Z <br /> SAN JOAQUIN COUNTY :< <br /> ENVIRONMENTAL HEALTH DIVISION <br /> Karen Furst, M.D., M.P.H., Health Officer <br /> 304 East Weber Avenue,Third <br /> it 3loor- Stockton, CA 95202 <br /> UNIFIED PROGRAM HAZARDOUS WASTE INSPECTION REPORT <br /> Facility Name <br /> Address S-LD <br /> City <br /> � State CA Zip Code <br /> EPA I.D.Number C <br /> Phone Z <br /> Facility Contact <br /> ,.�� �, r�-rf��✓ I�)r�_ QI- <br /> Consent Given By Q <br /> Inspection Date(s) ��� ��03 Inspection Type (circle): outine Complaint Follow-Up <br /> REPRESENTATIVES PRESENT <br /> Name Title C <br /> Organization <br /> p , <br /> to be <br /> ations <br /> one or more <br /> ons of the <br /> ia <br /> This <br /> lalth report <br /> t Safety Code (HSC) or the Californiaserved thisaC de ofy that eRelgulations, Title 22 (22tCCR) relating t tithe managementof <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. ip <br /> If any violations are noted,the facility is required to submit a signed Certification of Return to Compliance within <br /> days, unless otherwise specified (A certification form is provided). <br /> an Joaquin ty <br /> lic <br /> t in S <br /> Sth <br /> ervices-Environmental ces-Environmental H alations lth Division In the scheduled period(PHS-EHD) citing you orpcontinui may <br /> lal violations. Issuancenof th isInspection <br /> Report does not preclude PHS-EHD from takin y adminis civil or criminal action as a result of there violations noted. <br /> ceved y Date <br /> E vir nme tal Healt Spe list <br /> b <br /> Page3of <br /> 1219/98 <br /> A Division of San Joaquin County Health Care Scrvices <br />