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PUBLIC, EALTH SERVfICES <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DMSION ": ` <br /> aren Furst, M.D., M.P.H., Health Officer �P <br /> 304 East Weber Avenue, Third Floor - Stockton, CA 95202 �'FaaN <br /> 209/468-3420 <br /> UNIFIED PROGRAM HAZARDOUS WASTE INSPECTION REPORT <br /> Facility Name f ► S G <br /> Address <br /> City �� State CA Zip Code <br /> EPA I.D.Number C f C <br /> Facility Contact k Phone <br /> Consent Given By <br /> Inspection Date(s) /G Inspection Type (circle): Routine Complaint Follow-Up <br /> REPRESENTATIVES PRESENT <br /> Name Title Organization <br /> r C��J /U'E�z K4-4'.""q ccz i <br /> MA <br /> This report may identify conditic ns 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 violations may be described in more detail on the attached note sheets. After completing the <br /> evaluation of the information ob ained 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 speci ied (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-Environmental Health Division (PHS-EHD) citing you for continuing/additional violations. Issuance of this Inspection <br /> Report does not preclude PHS HD from taking any administrative,civil or criminal action as a result of the violations noted. <br /> Environmental Health Specialis Received by Date <br /> 12/9/98 Page 1 of_ <br /> A Division of San Joaquin Counry Health Care Services <br />