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PUBLIC HEALTH SERVICES ��p ..0 <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DIVISION <br /> Karen Furst, M.D., M.P.H., Health Officer <br /> �%PORN <br /> 304 East Weber Avenue, Third Floor • Stockton, CA 95202 <br /> 209/468-3420 <br /> UNIFIED PROGRAM HAZARDOUS WASTE INSPECTION REPORT <br /> Facility Name <br /> W0 <br /> Address <br /> City �O <br /> _r, State CA Zip Code <br /> EPAI.D.Number Ct��-bc7d�cb'�td'� <br /> Facility Contact T��A�� ���� 4' Phone X01 CVb <br /> Consent Given By <br /> Inspection Date(s) Inspection Type (circle): In Complaint Follow-Up <br /> REPRESENTATIVES PRESENT <br /> Title Organization <br /> Name tw.D <br /> one or more <br /> ons of the <br /> ia <br /> This report may identify ionsor the Californiaobserved this aC de of Regulations, Title 22 (22 y that are alleeto be violations fCCR) r ating tot'the managementnof <br /> Health and Safety Codea (HS(HSC) <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 action as a result of the violations noted. <br /> nv' onment ea Sp i 'I' t <br /> Receive DD t13 e <br /> Page 1 of <br /> 12/9/98 <br /> A Division of San Joaquin County Health Care Scrvicu <br />