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�I <br /> I'UBLI HEALTH SERVICES <br /> SAN JOAQUIN COUNTY , <br /> E RONMENTAL HEALTH DMSION <br /> aren Furst, M.D., M.P.H., Health Officer �, iP <br /> 304 East Weber Avenue, Third Floor • Stockton, CA 95202 <br /> 209/468-3420 <br /> UNIFIED PROGRAM HAZARDOUS WASTE INSPECTION REPORT <br /> Facility Name ala d-��y d1_46 <br /> Address <br /> City State CA Zip Code 1 ^ <br /> EPA I.D.Number <br /> Facility Contact n �f _l' Phone <br /> Consent Given By V <br /> Inspection Date(s) S, l Inspection Type (circle): Ro e Complaint Follow-Up <br /> REPRESENTATIVES PRESENT <br /> Nameitle ' Organization <br /> This report may identify conditio s 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 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 violatio s 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 Inspection <br /> Report d s of preclude - HD from taking any administrative,civil or cr inal action as a result of the violations noted. <br /> Environmental Health S ecialist eceived by <br /> Date <br /> 12/9/98 Page 1 of_ <br /> A Division of San Joaquin County Health Care Services <br />