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t <br />PUBLIC HEALTH SERVICES <br />SAN JOAQUIN COUNTY ' <br />ENVIRONMENTAL HEALTH DMSION `� ` <br />Karen Furst, M.D., M.P.H., Health Officer, :P <br />304 Eas Weber Avenue, Third Floor • Stockton, CA 95202 <br />209/468-3420 <br />UNIFIED I PROGRAM HAZARDOUS WASTE INSPECTION REPORT <br />Facility Name <br />Address <br />/f/& <br />Cy_'(1/ <br />City <br />EPA I.D.Number CA <br />Facility Contact jorn 11/1))7 <br />Consent Given By " <br />Inspection Date(s) <br />Name <br />State CA Zip Code <br />hone dog 9111—;-735 <br />y dU Inspection Type (circle): Routin Complaint Follow -Up <br />REPRESENTATIVES PRESENT <br />Title <br />Organization <br />This report may identify conditio is 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 obt 3ined during the inspection, PHS-EHD may inform you of additional violations. <br />If any violations are noted, tho facility is required to submit a signed Certification of Return to Compliance within 60 <br />days, unless otherwise speci ed (A certification form is provided). <br />Failure to orrect these violati <br />Services- nvironmental Health <br />Ren es not Dredude PHS- <br />EnvirSfnental 1-46511h Special <br />12/9/98 <br />ns within the scheduled period provided may result in San Joaquin County Public Health <br />division (PHS-EHD) citing you for continuing/additional violations. Issuance of this Inspection <br />:HD from taking any administrative, civil or criminal action as a result of the violations noted. <br />I (4(4, h <br />ceived by Date <br />A Division of San Joaquin Counry Health Care Services <br />Page 1 of <br />