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PUBLIC HEALTH SERVICES <br /> � Fo <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 cfKon` <br /> 209/468-3420 <br /> UNIFIED PROGRAM HAZARDOUS WASTE INSPECTION REPORT <br /> Facility Name <br /> LLjA4,��D BJ Z Ih!�� <br /> T// <br /> Address �D S �� N ��� Lc� ��l QJ�(L �t <br /> City (-S*C L�A2 State CA Zip Code ! nln <br /> ,S�'.P�`L ,Lug j aivv — `s?t ASH a�LCf/7aa� <br /> Facility Contact n/1 `10,j_ OA,.t Jai 4'd—, Phone Cao 9) 9 Fa — Ap7Y,5 <br /> Consent Given By �0 d4a;l 01� <br /> Inspection Date(s) ?-14-66 Inspection Type (circle): Routine Complaint Follow-Up <br /> REPRESENTATIVES PRESENT <br /> Name Title Organization <br /> SIlaidw <br /> C4 0 <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 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 a tion as a result o violations noted. <br /> EnNfironmental Health Speciostf Received by Date <br /> 12/9/98 Page 1 of <br /> A Division of San Joaquin County Health Care Services <br />