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PUBLIC i iEALTH SERVtiES -o <br /> SAN JOAQUIN COUNTY a <br /> ENVIRONMENTAL HEALTH DIVISION � ` <br /> Ernest M., Fujimoto, M.D., M.P.H., Acting Health Officer 4�4&' <br /> %F 6..if, <br /> 445 N. San Joaquin Street • P.O. Box 388 • Stockton, CA 95201-0388 <br /> (209) 468-3420 <br /> HAZARDOUS WASTE INSPECTION REPORT <br /> Facility Name <br /> Address C U <br /> City State CA Zip Code 4 SZ t 2 <br /> EPA I.D.Number C= L> g & LS C <br /> Facility Contact oil Phone C .Gq� 4 3 Z -Soot <br /> Consent Given By vx!�J� <br /> Inspection Date(s) / -��/'�S- Inspection Type (circle): Routine Complaint Follow-Up <br /> REPRESENTATIVES PRESENT <br /> Name Title Organization r. <br /> 0 <br /> This report may identify conditio s observed this day that are alleged to be violations of one or more sections of the <br /> California Health and Safety C de (HSC) or the California Code of Regulations, Title 22 (22 CCR) relating to the <br /> management of hazardous wast The violations may be described in more detail on the attached note sheets. After <br /> completing the evaluation of the information obtained during the inspection, PHS-EHD may inform you of additional <br /> violations. <br /> If any violations are noted, the f cility is required to submit a signed Certification of Return to Compliance within 60 <br /> days, unless otherwise specifie (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 ivision (PHS-EHD) citing you for continuing/additional violations. Issuance of this <br /> Inspection Report does not precl de PHS-EHD from taking any administrative, civil or criminal action as a result of the <br /> violations noted. <br /> o 12-15-�� <br /> Ratered E it ijhental Health 4ecialist Received y Date <br /> 12/9/94 Page 1 of <br /> \ Di,i,ion ur',an .luaquin ('uunt.� Health ('arc \mice. <br />