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PUBLI HEALTH SERVICES �aP �o <br /> SAN JOAQUIN COUNTY <br /> E RONMENTAL HEALTH DIVISION <br /> Karen Furst, M.D., M.P.H., Health Officer P. <br /> 304 East)Veber Avenue,Third Floor • Stockton, CA 95202 <br /> 209/468-3420 <br /> UNIFIED PROGRAM HAZARDOUS WASTE INSPECTION REPORT <br /> Facility Name In <br /> Address <br /> City ( -'N`1.0 ex State CA Zip Code <br /> EPA I.D.Number % k 6 Vo 5 C <br /> Facility ContactHa�'atO ft Phone <br /> Consent Given By 11 0 6 r tx_ <br /> Inspection Date(s) Inspection Type (circle): outi Complaint Follow-Up <br /> REPRESENTATIVES PRESENT <br /> Title p <br /> N me rganization <br /> Cr <br /> �n s <br /> I - <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 (HS ) or the California Code of Regulations, Title 22 (22 CCR) relating to the management of <br /> hazardous waste. The viola ions 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 viola ions within the scheduled period provided may result in San Joaquin County Public Health <br /> Services-Environmental Healt i Division (PHS-EHD) citing you for continuing/additional violations. Issuance of this Inspection <br /> Report does not preclude PH -EHD from taking any administrative,civil or criminal action as a result of the violations noted. <br /> lo 0 <br /> Environmental Health Special st Received by Date <br /> 12/9/98 Page 1 of <br /> A Division of San Joaquin County Health Care Services <br />