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PUBLIC HEALTH SERVICES ?oU.N <br /> SAN JOAQUIN COUNTY _ <br /> r z� <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. Bos 388 • Stockton, CA 95201-0388 Cq flFoa�'vr <br /> 209/468-3420 <br /> HAZARDOUS WASTE INSPECTION REPORT <br /> Facility Name C2-t" 47C- V. E ' <br /> Address � �-��'� � � <br /> ��'t State CA Zip Code 95040 <br /> City ' I <br /> EPA I.D.Number Cp- t) C) l S9 <br /> �� <br /> Facility Contact J 0 L 8t Gz(— <br /> Phone �9 2z h9 — 'y <br /> Consent Given By L7 Cs t. <br /> Inspection Date(s) Inspection Type (circle) Routi Complaint Follow-Up <br /> REPRESENTATIVES PRESENT <br /> Title Or anizatio�ln <br /> N e tAi t LZ coY�ZI' U0ZtS goUS<_ <br /> S <br /> 1� E <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 €n <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 /> Date <br /> Registered Environmental Health Specialist <br /> Received by <br /> Page 1 of <br /> 1219/94 <br /> 4 Division of San Joaquin County Health Care Services - <br />