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PUBLIC HEALTH SERVICES �PQU•!N. C <br /> SAN JOAQUIN COUNTY 5< :z <br /> ENVIRONMENTAL HEALTH DIVISION <br /> E <br /> Karen Furst, M.D., M.P.H., Health Officer APR <br /> R � 12000 <br /> 304 East Weber Avenue, Third Floor • Stockton, CA 95202 NP <br /> 209/468-3420 -NVIRONME(VIAI_ IiEALTt- <br /> PERMIT/ SERVICES <br /> UNIFIED PROGRAM HAZARDOUS WASTE INSPECTION REPORT <br /> Facility Name �_t b" rl re— 1)1 tt <br /> Address D ( CP Q wed R A <br /> City State CA Zip Code 9 S� a-a O <br /> EPA I.D.Number <br /> Facility Contact KQ revs Ka-nANA Lr2r Phone �?09 -3 `i — 13 ao( <br /> Consent Given By Kik j•� " tm rvxp-re-r <br /> Inspection Date(s) t 3 I Inspection Type (circle): (6;;;) Complaint Follow-Up <br /> REPRESENTATIVES PRESENT <br /> Name Title l Organization <br /> K-c�re., 'CA rnru,c-rcr IS-A. Se C- 'rx r,-- �Sfi <br /> c H s p14 <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 /> Environmental Health Specialist Received by Date <br /> 12/9/98 Page 1 of / <br /> A Division orSan loaquin Counry Health Care Scrvices <br />