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JUN -21-00 THU 04:25 PH P.02/04 <br />PUBLIC HEALTH SERVICES <br />SAItiOA ?"tea <br />] 2ufN cater <br />FIMRONMFNTAL HEALTH DMS#UN <br />Karen Furst, M,D., M.P. i' I., Heal -di Officer <br />304 .East Webcr Avcnuc, Third Floor • Stockton, CA 95202 <br />209/468-3420 <br />UNIFIED PROGRAM HAZARDOUS WASTE INSPECTION REPORT <br />Facility NameIF,l <br />Address Y/Z� .ice �— <br />City - ;�' .4, — State-- <br />CA Zjp Gode _ <br />EPA I.D.Number <br />Facility Contact _ — j�)11-71 Phone <br />Consent Given By -- .1 ;j. <br />-- -� °--- <br />Inspection Dates} Inspection Type (circle):- oa_-�;crplaint Follow -Up <br />REPRESENTATIVES PRESENT <br />Name -r#le <br />rganiza#io <br />This report may identify conditions observed this day that are alleged to be vialafiols of one or more sections of the C3iifgmia <br />Health and Safety Code (HSC) or the Cartfornla Code of Regulations, Title ?2 (72 CCR) relating to the rmanageme$)t of <br />hazardous waste- The violations may be descdbed in more detail on the attached ncte sheets. After completing the <br />evaluation of the information obtained during the inspec&on, 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 certftation form is provided), <br />Failure to correct these violators within the sche�duied perod provided may result in San Joaquin County Public Health <br />Services- nvironmentai Health division (PHS-EHD) citing you for continuing/additional volations. Issuance of this Inspection <br />Report es not preclude PHS-EHD from taking any administrab CMI or criminal action as a result of the violations noted, <br />nvironme eaith Specialist eceived by b; <br />1219198 <br />ADi-4ioa of San loauuin r'n,enr 74.-.,1" r•..-- <br />Page t of <br />