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PUBLIC HEALTH SERVICES ,opo <br /> SAN JOAQUIN COUNTY L^ <br /> ENVIRONMENTAL HEALTH DMSION <br /> Karen Furst, M.D., M.P.H., Health Officer <br /> tiapd" <br /> 304 East Weber Avenue,Third Floor • Stockton, CA 95202 <br /> 209/468-3420 <br /> UNIFIED PROGRAM HAZARDOUS WASTE INSPECTION REPORT <br /> Facility Name A C <br /> Address P� S <br /> City ma�� — State CA Zip Code ✓��� �LZ� `�� <br /> EPA I.D.Number Cp>; l moo aaa-1 <br /> Facility Contact ha QC AP_d Phone JDq- 2'51-190aS kV=ia <br /> Consent Given By 364A jilay" <br /> Inspection Date(s)"IL 3IZQM ._Inspection Type (circle): Routine omplain Follow-Up <br /> REPRESENTATIVES PRESENT <br /> Organization <br /> 10 >n o b I S <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 continuingladditional 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 /> 4 #Dat4 <br /> th <br /> Environmental Heapeci ist Rede ved by <br /> Page 1 of <br /> 12/9/98 <br /> A Division of SanJoaquin County Hmlrh Care Services <br />