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PUBLIC` HEALTH SERVICES OPQIN <br /> SAN JOAQUIN COUNTY 1 <br /> L' <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 cy�Jti 6 P <br /> 209/468-3420 <br /> I HAZARDOUS WASTE INSPECTION REPORT <br /> Facility Name Ad VLr'iYl Ce'd ta=k- 26? 6 Yl cii <br /> Address 1 �� i G� /' %iYi t . <br /> City C� State CA Zip Code 95 . <br /> EPA I.D.Number C �� © p ,5 1 /% 6-15 -1) <br /> Facility Contact �AWeS Pi P o( n ,,'_AnS�Phone CA a 4 <br /> Consent Given By +"114yn eQ rrvl [iv, ci <br /> Inspection Date(s) 7" /d — Inspection Type (circle): RoutineComplain Follow-Up <br /> REPRESENTATIVES PRESENT <br /> Name Title Or anization <br /> � /9 �P <br /> � <br /> t 9 <br /> U�.rti,� ©urrwt 1a1lCGu��c/�lfv� C ref, <br /> O vol •s r . <br /> ?1I M0 <br /> I <br /> e_ _ s <br /> C 1 f— <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 /> i <br /> � t <br /> Registered Environmental Health Specialist Re ived/b/ ; Date <br /> 12/9/94 Page 1 of <br /> a Division of San Joaquin County Health Care Sumees <br />