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PUBLIC HEALTH SERVICES <br />SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DIVISION" ` ` <br />Karen Furst, M.D., M.P.H., Health Officer; �P <br />304 East Weber Avenue, Third Floor - Stockton, CA 95202 <br />209/468-3420 <br />Facility Name <br />UNIFIED PROGRAM HAZARDOUS WASTE INSPECTION REPORT <br />1 MrntOA M AA.- P I M _,iA <br />Address i0l VAL - EVI AJ <br />City F State CA Zip Code C?,5 ZC G <br />Facility Contact Phone <br />Consent Given By ITCH ley Bel mie—s <br />Inspection Date(s) 2L4 wr:79 Inspection Type (circle). Routine Complaint Follow -Up <br />REPRESENTATIVES PRESENT <br />Name Title Organization <br />C — <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 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 />ar'�A X! � � q ". 4_ 9-20-1,7 <br />-20-1,i <br />En mental Health pecialist Received hOF Date <br />12/9/98 Page 1 of <br />A Division of San Joaquin County Health Care Services <br />