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PUBLIC HEALTH SERVICES <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DMSION � �\ <br /> Karen Furst, M.D., M.P.H., Health Officer �. <br /> 304 East Weber Avenue, Third Floor • Stockton, CA 95202 <br /> 209/468-3420 <br /> UNIFIE PROGRAM HAZARDOUS WASTE INSPECTION REPORT <br /> Facility Name <br /> Address <br /> City � '� State CA Zip Code <br /> EPA I.D.Number <br /> Facility Contact %-ato Phone d l— 931— m-j <br /> Consent Given By <br /> Inspection Date(s) qj ll� tTo Inspection Type (circle): outi Complaint Follovi-Up <br /> REPRESENTATIVES PRESENT <br /> Name Title rganization <br /> Ra%,FMjr V&NU <br /> M , <br /> I - <br /> This report may identify conditions observed anis day that are alleged to be violations of orie or mcie 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 violatio s may be described in more detail on the attached note sheets. After completing the <br /> evaluation of the information obt fined during the inspection, PHS-EHD may inform you of additional violations. <br /> If any violations are noted, th facility is required to submit a signed Certification of Return to Compliance within 60 <br /> days, unless otherwise specifi d (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 /> II <br /> 4 �a o <br /> Environmental Health Specialist— Received by Date <br /> 12/9/98 Page 1 of_ <br /> A Division of San Joaquin County Healrh Care Services <br />