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PUBLIC HEALTH SERVICES <br />SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DMSION <br />Karen Furst, M.D., M.P.H., Health Officer <br />304 East Weber Avenue, Third Floor - Stockton, CA 95202 <br />209/468-3420 <br />UNIFIED PROGRAM HAZARDOUS WASTE INSPECTION REPORT <br />Facility Name GWJZ S C5 <br />Address <br />City <.-(Z) Gx_T-Dt� State CA Zip Code <br />EPA I.D.Number LAL. 0000 A69 8 2 - <br />Facility Contact Phon��� <br />Consent Given By Tt oA Bev:?, <br />Inspection Date(s) � 0 D Inspection Type (circle): Complaint Follow -Up <br />REPRESENTATIVES PRESENT <br />OrganizationName Title �-'' <br />itl L� ELi u + i <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 prew ecl�d <br />Services -Environmental Health Division (PHS -E citing you for continuii <br />Report does not preclude PHS-EHD from takin any administraNe,c;10 <br />Environmental Health Specialist Received by <br />12/9/98 <br />may result in San Joaquin County Public Health <br />r�/additional violations. Issuance of this Inspection <br />crikninal action as a result of the violations noted. <br />A Division of San Joaquin County Health Care Services <br />4� I cc) <br />Date <br />Page 1 of <br />