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0 0 <br /> PUBLI HEALTH SERVICES <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DIVISION " ` ` <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 /> UNIFIE11 PROGRAM HAZARDOUS WASTE INSPECTION REPORT <br /> Facility Name 6d_ lid <br /> Address tl-7 L/ W_ ;t <br /> City C,(6LA State CA Zip Code <br /> EPA I.D.Number 0000 3 -7 <br /> Facility Contact AY),, <f Y'O� Phone `O''7 <br /> Consent Given By li <br /> Z7 Inspection Type (circle): Complaint Follow-Up <br /> Inspection Date(s) I <br /> REPRESENTATIVES PRESENT <br /> NaW Title _ Organization <br /> This report may identify conditi ns observed this day that are alleged to be violations of one or more sections of tDartnHealth and Safety Code (HS ) or the California Code of Regulations, Title 22 (22 CCR) relating to the mahazardous waste. The violat ons may be described in more detail on the attached note sheets. After co <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 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 /> Reporbdoes not preclude PHS EHD from taking any administrative,civil or criminal action as a result of the violations noted. <br /> Environmental Health Specialist Received by Date <br /> 12/9/98 Page 1 of <br /> A Division of San Joaquin County Health Care Services <br />