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A/- PUBLIC ?1EALTH SERAtES <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 e Stockton, CA 95201-0388 <br />209/468-3420 o g r <br />HAZARDOUS WASTE INSPECTION REPORT <br />Facility Name /!- <br />Address t <br />I <br />City��zs State CA Zip Code S^ Z34, <br />EPA I.D.Number 10 Ll <br />Facility Contact j_� 'IIC.i'a Phone , 4j4 - /�10 <br />Consent Given By <br />Inspection Date(s) 17, -_30 Inspection Type (circle)• Routin Ccmplair-t Follow -Up <br />� "A di ' <br />Organization <br />This report may identify conditions observed this day that are alleged to be violations of one or ri xe sons of the <br />California Health and Safety Code (HSC) or the California Code of Regulations, Title 22 (22 CCR:) ; ming to the <br />management of hazardous waste. The violations may be described in more detail on the attached ncte sheets. After <br />completing the evaluation of the information obtained during the inspection, PHS-EHD may inform you cf 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 violatiom is`unce of this <br />Inspection Report does not preclude PHS-EHD from taking any administrative, civil or criminal acdw as a result of the <br />violations noted. <br />Registered Environmental Health Specialist <br />12/9/94 <br />A Division of San Joaquin County Health Care Services <br />Pace 1 of 711-1 <br />