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SER ICESPUBLIC1EALTH <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 95201-03884` FORa P <br /> 209/468-3420 <br /> HAZARDOUS WASTE INSPECTION REPORT 4 <br /> Facility Name V I <br /> Address <br /> City State CA Zip Code c-� <br /> EPA I.D.Number <br /> Facility Contact <br /> A�,c� G' ,"ate Phone �`J — <br /> Consent Given By <br /> Inspection Date(s) /�� �i /� Inspection Type (circlej_ u m plaint Follow-Up <br /> REPRESENTATIVES PRESENT <br /> Name Title / Organization 1 <br /> _`S��-i f�i �r. �r�/_ ��v�o�'`r•=,d�'Y_��.=-'T3'�`'�� !�r I�%�'�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 /> d in <br /> re etail on the attched <br /> management of ha evaluation of inforrmationtlons may be obta obtained during theeiinsp cttiiion,PHS-EHD mayinform note sheets. <br /> completing the you ofadditional <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 n <br /> Date <br /> Registered Environmental Health Specialist Rece ved b y <br /> 12/9/94 Page 1 of <br /> A Division of San Joaquin Count} Health Care Services <br />