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TJJEALTH SER ESPLBLI <br />SAN JOAQUIN COUNTY <br />r. <br />Z <br />ENVIRONMENTAL HEALTH DIVISION <br />Ernest M. Fujimoto, M.D., M.P.H., Acting Health Officer / <br />304 E.Weber Are.. 3rd Floor • P. O. Box 388 • Stockton, CA 95201-0388 <br />Q�FpR� <br />209/468-3420 <br />HAZARDOUS WASTE INSPECTION REPORT <br />Facility Name <br />Address <br />City <br />EPA I.D.Number Cl K4,030 ?_0 % <br />Facility Contact <br />Consent Given By <br />Inspection Date(s) <br />Name <br />State CA Zip Code <br />z-/� z-1 - Inspection Type (circle): outin Complaint Follow -Up <br />REPRESENTATIVES PRESENT <br />Organization <br />This report may identify condit�ns observed this day that are alleged to be violations of one or more sections of the <br />California Health and Safety ode (HSC) or the California Code of Regulations, Title 22 (22 CCR) relating to the <br />management of hazardous waste. The violations may be described in more detail on the attached note sheets. After <br />_; .-{ rt cbtai^od d11:ir'� she i^�^ection. PHS-EHD may inform you of additional <br />completing the evaivation the ,::,onr- .o,: - <br />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 speci red (A certification form is provided). <br />Failure to correct these violatio is 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 <br />Inspection Report does not preclude PHS-EHD from taking any administrative, civil or criminal action as a result of the <br />violations noted. <br />Registered Environmental Health Specialist Received by Date <br />12/9/94 <br />A Division of San Joaquin County Health Care Services <br />Page 1 of <br />