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PUBLIC HEALTH SERVICES <br />SAN JOAQUIN COUNTY' <br />ENVIRONMENTAL HEALTH DMSION <br />s'• <br />Karen Furst, M.D., M.P.H., Health Officer; �P <br />304 East Weber Avenue, Third Floor - Stockton, CA 95202 `'FORS <br />209/468-3420 <br />Facility Name Rovvv l r--eZe' <br />Addresss i i �). s aaumenin <br />City �OUI t State CA Zip Code <br />EPA I.D.Number <br />Facility Contactyi(y-e_ Phone 0- <br />Consent Given By J L(� <br />Inspection Date(s) tl L Inspection Type (circle):Routine Complaint Follow -Up <br />Name Title Organization <br />1 ► i fA' WA <br />I� - • <br />This report may identify conditions 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 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 <br />Services -Environmental Health Division (PHS-EHD) citing yo <br />Report does not preclude PHS-EHD from taking any admi • rat; <br />Environmental Health Specialist <br />12/9/98 <br />may result in San Joaquin County Public Health <br />ig/additional violations. Issuance of this Inspection <br />criminal action as a result of the violations noted. <br />A Division of San Joaquin County Health Care Services <br />11 <br />o <br />Page 1 of <br />