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PUBLICHEALTH SERVICES ,OP �o <br /> SAN JOAQUIN COUNTY r; <br /> ENVIRONMENTAL HEALTH DIVISION �` ° :< <br /> Ernest M. Fujimoto, M.D., M.P.H., Acting Health Officer <br /> 304 E.Weber Ave., 3rd Floor 0 P. O. Box 388 • Stockton, CA 95201-0388 �y•...,,, .. :v <br /> 209/468-3420 C FORM <br /> HAZARDOUS WASTE INSPECTION REPORT <br /> Facility Name /t0yA.t6"_-r6 /vEr� �IATn��r <br /> Address <br /> City Sic( State CA Zip Code <br /> EPA I.D.Number —�ooas90653 <br /> Facility Contact Phone CZE ) <br /> Consent Given By /0(c- 0/) e--41v4'� <br /> Inspection Date(s) Arla7L96 Inspection Type (circle): Routine Complaintollow U <br /> REPRESENTATIVES PRESENT <br /> Name Title Organization <br /> Arum a Anvo.� irE.�c Pva-ie(�� <br /> T75d 132/ S r1 ram .2. F A/5- <br /> This <br /> lSThis 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 Califomia 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 Page 1 of-,5- <br /> A <br /> fSA Dkision of San Joaquin Coon" Health Care Services <br />