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PUBLIC HEALTH SERVICES <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DMSION <br /> Karen Furst, M.D., M.P.H., Health Officer P <br /> 7��Fo.RN� <br /> 304 East Weber Avenue, Third Floor • Stockton, CA 95202 <br /> 209/468-3420 <br /> UNIFIED PROGRAM HAZARDOUS WASTE INSPECTION REPORT <br /> Facility Name w-wa <br /> Address `QCP S s tOVIQ/V1 RCCJ <br /> City �j'.P c'k U)'MP State CA Zip Code 0(50L-31 <br /> EPA I.D.Number CAL DOD11031(0 1 <br /> Facility Contact sOV A �VIO 'C JI CO til Phone (Oct-70 <br /> Consent Given By -�OVkVt ?X-hQ.dkCGDtx. <br /> Inspection Date(s) 12-30-C(0( Inspection Type (circle): Routine Complaint Follow-Up <br /> REPRESENTATIVES PRESENT <br /> Name Title Organization <br /> �1&V1yD t G�DIDD� E tAs <br /> s\hl/1y\ Vl 12 Crcxgdn Mac, C pin tY' 0 r y\:Lk o <br /> This report may identify conditions observed this day that are alleged to be violations of one or more sections of the California <br /> Health and Safety Code (HSC) or the California Code of Regulations, Title 22 (22 CCR) relating to the management of <br /> hazardous waste. The violations may be described in more detail 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 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 Inspection <br /> Report does not preclude PHS-EHD from taking any administrative, civil or criminal action as a result of the violations noted. <br /> Environmental H Ith Specia st R ceived by Date <br /> 12/9/98 Page 1 of S <br /> A Division of San Joaquin Counry Health Care Services <br />