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PUBLI AEALTH SERVICES <br /> SAN JOAQUIN COUNTY <br /> E RONMENTAL HEALTH DMSION ` <br /> en Furst, M.D., M.P.H., Health Officer ., <br /> 304 East eber Avenue, Third Floor • Stockton, CA 95202 '��ji6W <br /> 209/468-3420 <br /> UNIFIEDPROGRAM HAZARDOUS WASTE INSPECTION REPORT <br /> Facility Name <br /> Address �� a <br /> City State CA Zip Code 95'�?7 <br /> EPA I.D.Number G ® g6-� Lf <br /> Facility Contact G &Znz Phone If.36 — K _3 <br /> �&�' <br /> Consent Given By <br /> Inspection Date(s) l6 C Inspection Type (circle): ou ' Complaint Follow-Up <br /> REPRESENTATIVES PRESENT <br /> I <br /> W nje T'tle ganiz tion <br /> This report may identify condition observed this day that are alleged to be violations of one or more sections of the California <br /> Health and Safety Code (HSC) br the California Code of Regulations, Title 22 (22 CCR) relating to the management of <br /> hazardous waste. The violations 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 correct these violation within the scheduled period provided may result in San Joaquin County Public Health <br /> Service -Environmental Health Division (PHS-EHD) citing you for continuing/additional violations. Issuance of this Inspection <br /> Re,{�o does not Jude PHS-EHD from taking any admi strati or rimi al action as a result of the violations noted. <br /> � 1 7 <br /> nvironmental Health Sp cialist Recei d by Dat <br /> 12/9/98 Page 1 of J <br /> A Division of San Joaquin County Health Care Services <br />