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PUBLI HEALTH SERVICES <br />SAN JOAQUIN COUNTY i <br />NVIRONMENTAL HEALTH DMSION <br />Karen Furst, M.D., M.P.H., Health OfficerP <br />304 Ea t Weber Avenue, Third Floor • Stockton, CA 95202 <br />209/468-3420 <br />UNIFIED PROGRAM HAZARDOUS WASTE INSPECTION REPORT <br />Facility Name ___ _A7) <br />Address I �y '� �� (—HZ WA�} <br />City �_iic �4c�� State CA Zip Code <br />EPA I.D.Number 9 62 q68 C� <br />Facility Contact 'Soy+v r1 _ Phone <br />Consent Given By S <br />Inspection Date(s) Inspection Type (circle): Routine Complaint Follow -Up <br />REPRESENTATIVES PRESENT <br />Name Title • anization <br />Tow V mc&dA i o <br />This report may identify conditi ns 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 ob�ained 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 specfied (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 - HD from taking any administrative, civil or criminal action as a result of the violations noted. <br />iEl��A I <br />lZ-7­1-7Cr <br />Env ental Health ecialis eived by Da e <br />12/9/98 <br />A Division of San Joaquin Counry Health Care Services <br />Page 1 of _ <br />