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PUBLIC HEALTH SERVICES UIAI <br /> SAN JOAQUIN COUNTY <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 eq��F Ra�P <br /> 209/468-3420 <br /> HAZARDOUS WASTE INSPECTION REPORT <br /> Facility Name LOILJ M I}-CL l -re . I 71-OL , <br /> Address 13 Smth ! 1 1�� S i/'f,N, <br /> city �-t� �.C� State CA Zip Code EPA I.D.Number Ch D 151:3& /G <br /> qqJ� <br /> Facility Contact Phone (101) 33'�t /,Z5 <br /> Consent Given By <br /> Inspection Date(s) Qacjy2:A &z jl . H Inspection Type (circle): O out a Complaint Follow-Up <br /> REPRESENTATIVES PRESENT <br /> Name Title Organization 1 <br /> e fn ))n U c <br /> Sen i ter 'F. it Pa h _see <br /> c G Se-_n ► n r R i` H -S E A)d I I"c�-x <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 /> Ih At le(I"t o Lot; J At ' 'le(C . lfu G <br /> Registered Environmental Health Specialist 'R a S. ,Sf,� ,� Date <br /> 12/9/94 n �Q; '� Page 1 of J-3 <br /> A Division of San Joaquin County Health Care Services <br />