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PUBLIC HEALTH SERAXES <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 • Stockton, CA 95201-0388 <br />209/468-3420 <br />HAZARDOUS WASTE INSPECTION REPORT <br />Facility Name <br />Address 3 \ n5 S ice\ D. rC'Ac> <br />City State CA Zip Code <br />EPA I.D.Number eAl) 004-4-4((QU(o <br />4S"Z0(1 <br />Facility Contact Phone 6zo-0 4co(o-SS-S1{ <br />Consent Given By �c�c is�op <br />Inspection Date(s) T ���' Inspection Type (circle : outin Complaint Follow -Up <br />REPRESENTATIVES PRESENT <br />Name I- Title Orga�n}f�za(io�n. <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 any administrative, civil or criminal action as a result of the <br />violations noted. <br />6egisered E4 Gmtal Health Specialist <br />12/9/94 <br />Received by <br />A Division or San Joaquin County Health Care Services <br />Date <br />Page 1 of T <br />