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PUBLIO HEALTH SEPdVICES <br />" SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DIVISION <br />Ernest M. Fujimoto, M.D., M.P.H., Acting Health Officer <br />304 E.Weber Ave., 3rd Floor ® P. O. Box 388 • Stockton, CA 95201-0388 <br />209/468-3420 <br />HAZARDOUS WASTE INSPECTION REPORT <br />Facility Name "0* 7`7(--�� <br />Address <br />7 tlD <br />City �l`a c-- 5_1.._._ State State CA Zip Code �W <br />EPA I.D.Number <br />/(.9--+G <br />Facility Contact �� > �a^^� Phone ��2"-��6� <br />Consent Given By <br />Inspection Date(s) — — Inspection Type (circle): Routine Complaint Follow -Up <br />Name f Title Organization <br />30 10, <br />This report may identify conditions observed this day that are alleged to be violations of one or more sections of the <br />California Health' and Safety Code (HSC) or the California Code of Regulations, Title 22 (22 CCR) relating to the <br />management of hazardous waste. The violations may be described in more detail on the attached note sheets. After <br />completing the evaluation of the information obtained during the inspection, PHS-EHD may Inform you of additional <br />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 <br />Inspection Report does not preclude PHS-EHD from taking any administrative, civil or criminal action as a result of the <br />violations noted. <br />Registered Environmental Health Specialist Received by Date <br />12/9/94 <br />A Division of San Joaquin Count' Health tare Services <br />Page 1 of J` <br />