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PUBLI h*EALTH 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 /> UNIFIED 13ROGRAM HAZARDOUS WASTE INSPECTIOP RT <br /> 1.) . <br /> 11 1� <br /> Facility Namef��=— � il 0 <br /> Address g4y,f 6 Sj <br /> City d/ State CA Zip Code 96�&A6 <br /> EPA I.D.Number MAO <br /> Facility Contact 1 J br li'V,/)/? ov Phone <br /> Consent Given By :, is <br /> Inspection Date(s) Inspection Type (circle): e Complaint Follow-Up <br /> REPRESENTATIVES PRESENT <br /> Namg., ��> Title/_ Or�nization <br /> This report may identify conditioiis 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 violati ns 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, th facility is required to submit a signed Certification of Return to Compliance within 60 <br /> days, unless otherwise specif ed (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 nvironmerptalHealth Division (PHS-EHD) citing you for continuing/additional violations. Issuance of this Inspection <br /> R o; oes not p clude PHS- HD from taking any administrative, civil or criminal action as a result of the violations noted. <br /> Z. �IJ� <br /> Envi on ental Health Specialist eceived by Date <br /> 12/9/98 Page 1 of_ <br /> A Division of San Joaquin County Health Care Services <br />