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r. <br /> PUBLIC HEALTH SERVICES ,oaa�.lN <br /> SAN JOAQUIN COUNTY ?a <br /> ENVIRONMENTAL HEALTH DIVISION <br /> Karen Furst, M.D., M.P.H., Health Officer <br /> 304 East Weber Avenue, Third Floor • Stockton, CA 95202 oRN <br /> 209/468-3420 <br /> UNIFIED PROGRAM HAZARDOUS WASTE INSPECTION REPORT <br /> Facility Name Lt <br /> Address (( J IL 0 6 1 " , �j <br /> City �l �L — State CA Zip Code ( S� <br /> EPA I.D.NumberSI'/6% �U'2-- <br /> Facility Contact 6o n `f L L! MIC, Ski( _Phone <br /> Consent Given By <br /> Inspection Date(s) n Inspection Type (circle): Complaint Follow-Up <br /> REPRESENTATIVES PRESENT <br /> Nape Title Organization <br /> (A <br /> A?— <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 /> R`eeporo oes not preclude PHS-EHD from taking any administrative,civil or criminal action as a result of the violations noted. <br /> ';O� a <br /> Environmental I Health Specialist by fD� <br /> 12/9/98 Page 1 of <br /> A Division of San Joaquin Counry Hcalrh Care Services <br />