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PUBLIC HEALTH SERVICES o <br /> SAN JOAQUIN COUNTY _ ,T <br /> ENVIRONMENTAL HEALTH DMSION a; T <br /> Karen Furst, M.D., M.P.H., Health Officer <br /> 304 East*%Veber Avenue, Third Floor • Stockton, CA 95202 <br /> 209/468-3420 <br /> UNIFIED PROGRAM HAZARDOUS WASTE INSPECTION REPORT <br /> Facility Name VVI <br /> I— L <br /> I �1 r n �' <br /> Address <br /> Cityqh State CA Zip Code <br /> EPA I.D.Number �o <br /> Facility Contact �1 <br /> i� <br /> /1!� Q� Phone ` M - � 3—� Z(� <br /> ;�� �-- <br /> Consent Given By 1n� <br /> Inspection Date(s) "1TInspection Type (circle): Routine Complaint Follow-Up <br /> REPRESENTATIVES PRESENT <br /> tle _ Organization <br /> Name u �--IS_ <br /> C <br /> �ro�lr�il o.lt�-- <br /> This report may identify conditions observed this day that are alleged to be violations of one or more sections of the Caiiforn: <br /> Health and Safety Code (HSC) or the California Code of Regulations, Title 22 (22 CCR) relating to the management c, <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 /> eduled period provided may result in San Joaquin County Public Hea::" <br /> Failure to correct these violations within the sch <br /> Services-Environmental Health Division (PHS-EHD) citing you for continuing/additional viola, ns. Issuance of this Inspectio,- <br /> Report does not preclude PHS-EHD from taking any administrative,civil or criminal action a result of the violations noted <br /> j— a7-� <br /> Environmental Health a alist <br /> eceived Date <br /> Page 1 of <br /> 12/9/98 <br /> A Division of San Joaquin County Health Care Services <br />