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* <br /> PUBLIC HEALTH SERVICES <br /> , �/l�[�.--'^ COUNTY}COUNTY' � <br /> ENVIRONMENTAL HEALTH DIVISION <br /> Karen Furst, M.[}., M.P.H., Health Officer <br /> 304 East Weber Avenue, Third Floor - Stockton, CA 95202 <br /> 209/468-3420 <br /> UNIFIED PROGRAM HAZARDOUS WASTE INSPECTION REPORT <br /> Facility N <br /> rA- <br /> city calm State CA Zip Code <br /> EPA [D.NUnlbe[ <br /> FacilityContact00M.06i&hone M-6)�Q _119q <br /> Consent Given By jh <br /> }DSD8ctiDD Date(s) Inspection Type (circle): (:��D u`//p/m/.` Follow-Up <br /> REPRESENTATIVES PRESENT <br /> Name Iitle Organization <br /> VL Vo Kplfi'b 104d le�� PH_S_E8:b - <br /> VM E�wK A,F 0 <br /> ^^ ^. <br /> This <br /> ^report may identify conditions observed this day that are alleged to be violations of one or more sections of the California <br /> Healthand Safety ---a (HSC) or the California Coda of Regulations, Title 22 C22 CCR) relating to the management of <br /> h----oua waste. The violations may be described in more debai| 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 isrequired tosubmit a signed Certification mfReturn toCompliance within GO <br /> days, unless otherwise specified (Acertification form impnmvlded). <br /> Failure to correct these violations within the scheduled period provided may result in San Joaquin County Public Health <br /> San/ioes'Envinonmenba\ Health Division (PHS-EHO) oiU - you P'rc­o'r�inuing/adclitional Inspection. Issuance o/ this ' �p=�""'' <br /> Report does not preclude PHG'EHOfrom taking any acriminal result ofthe violations noted. <br /> geceived Oaha <br /> Page 1of-�L <br /> 12/S/S8 <br />