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i; <br /> PUBLIC HEALTH SERVICES �o�4. �`io <br /> :. <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DIVISION a: <br /> Ernest M. Fujimoto, M.D., M.P.H., Acting Health Officer �•.. �a <br /> 4�iKO.�ri <br /> 445 N. San Joaquin Street • P.O. Box 388 & Stockton, CA 95201-0388 <br /> (209) 468-3420 <br /> HAZARDOUS WASTE INSPECTION REPORT <br /> Facility Name <br />} Address c_ /AJel pia <br /> City firo State CA Zip Code �r1Ti37 <br /> { <br /> EPA I.D.Number CA' X �CFZ-66 <br /> Facility Contact AwAYn�-' Phone ) <br /> Consent Given By SAY <br /> Inspection Date(s) Z6 Inspection Type (circle): Routine Complaint Follow-Up <br /> REPRESENTATIVES PRESENT <br /> Nam f Title Organization <br /> Crr4Y�� <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 an dministrative, civil or criminal action as a result of the <br /> violations noted. <br /> -2� a <br /> Registered Environmental Health Specialist Received by Dater <br /> 12/9194 Page 1 of "# <br /> A Dici.inn ur San.loaquin cmaim Health Care Service, <br />