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PUBLIC tEALTH SERCES <br /> PQU1N <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DIVISION <br /> Ernest M. Fujimoto, M.D., M.P.H., Acting Health Officer ., P <br /> 445 N. San Joaquin Street • P.O. Box 388 • Stockton, CA 95201-0388 4�lFoaN' <br /> (209) 468-3420 <br /> HAZARDOUS T <br /> �ZARDOUS WASTE INSPECTION REPORT <br /> f? <br /> Facility Name N�,1, )a_o T� S% -m - -Pa rNo� A,% <br /> t 6 <br /> Address <br /> City . State CA Zip Code ?52 3 <br /> EPA I.D.NumberC '9/ g3 f 7=j 5j 7 <br /> Facility Contact /7//I� le /�c WnzG�, Phone <br /> Consent Given By . <br /> Inspection Date(s).. 9 Inspection Type (circle). outine Complaint Follow-Up <br /> REPRESENTATIVES PRESENT <br /> Name Title Organization <br /> J31e r 1.4 2 "K. I l'V' <br /> _p FnIIJ <br /> Ye �.SPub l t c- <br /> F_Ar✓i F-�1Jdi rB,�.ri N <br /> He S�eu �s , <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 /> Registered Environmental Health Specialist Received by Date <br /> � ge I <br /> 12/9/94 age of <br /> A Di%ision of San Joaquin County Health Care Services <br />