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I <br /> PUBLI HEALTH SERVICES <br /> SAN JOAQUIN COUNTY <br /> ETMRONMENTAL HEALTH DMSION <br /> Karen Furst, M.D., M.P.H., Health Officer �P <br /> 304 East Weber Avenue, Third Floor- Stockton, CA 95202 <br /> 209/468-3420 <br /> UNIFIED PROGRAM HAZARDOUS WASTE INSPECTION REPORT <br /> Facility Name ` <br /> Address <br /> City C C l� State CA Zip Code 2 C <br /> EPA I.D.Number $ © � <br /> Facility Contact `e- r 1 Phone <br /> Consent Given By 1 ►u <br /> Inspection Date(s) Inspection Type (circle): outine Complaint Follow-Up <br /> REPRESENTATIVES PRESENT <br /> Name Title Organniizea�tipn <br /> 1 wL�� �,i <br />