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law <br /> PUBLIC HEALTH SERVICES <br /> SAN JOAQUIN COUNTY a <br /> ENVIRONMENTAL HEALTH DMSION "''I. <br /> Karen Furst, M.D., M.P.H., Health Officer <br /> 304 East Wcbcr Avenue, Third Floor • Stockton, CA 95202 <br /> 209/468-3420 <br /> UNIFIED PROGRAM HAZARDOUS WASTE INSPECTION REPORT <br /> Facility Name <br /> Address II 1J60 W FYU'Y1Oa'Lf" CJI YPP�1' <br /> City 6I�,,a'-Mn State CA Zip Code � 03 <br /> EPA I.D.Numbei­ 64 ID1Oq aa� <br /> !� Gjiyllptl 1iLla ' ��� <br /> Facility Contact �IDI,�„ Phone <br /> Consent Given By <br /> Inspection Date(s) I ( 2g Inspection Type (circle): outine Complaint Follow-Up <br /> REPRESENTATIVES PRESENT <br /> Title Organization <br /> Name )onrl GPYYIDt� ? �rf� <br /> � t <br /> I,n� En ul r° Co <br /> o ✓� r �, `� <br /> This report may identify conditions observed this day that are alleged to be violations of one or more sections of the Ca!i,orni_ <br /> Health and Safety Code (HSC) or the California Code of Regulations, Title 22 (22 CCR) relating to the management 07 <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 6C <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 Heal:- <br /> Services-Environmental Health Division (PHS-EHD) citing You for continuing/additional violations. Issuance of this Inspectio- <br /> Report does not preclude PHS-EHD from taking any administrative,c' iI or criminal action as a result of the violations noteda,wow . <br /> �� ow <br /> to <br /> nvironmental He I Speci i <br /> Rete ve by <br /> Page 1 of <br /> 12/9198 <br /> A n;v;cinn orsi,Joaquin County Heilth Care Scrvico <br />