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PUBLIC HEALTH SERVICES <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DIVISION ` <br /> Karen Furst, M.D., M.P.H., Health Officer off ; <br /> 304 East Weber Avenue, Third Floor • Stockton, CA 95202 �iFoaN <br /> 209/468-3420 <br /> UNIFIED PROGRAM HAZARDOUS WASTE INSPECTION REPORT <br /> Facility Na <br /> me <br /> Address <br /> City 1-8 State CA Zip Code <br /> EPA I.D.Number <br /> Facility Contact U.�k NIL ��B"�'�� Phone ��1—37 /�p <br /> ' b y 3 d <br /> Consent Given By J i du rr-e A f-f— <br /> Inspection Date(s) 7--1(- Cz' Inspection Type (circle): utine Complaint Follow-Up <br /> REPRESENTATIVES PRESENT <br /> ,NWTirVe Organization <br /> me �✓I/Sa..t� / �.r-r,r�,Laay f�i��' �8�.�� <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 admin;ceiv <br /> e,civil or criminal ac' result of the violations noted. <br /> V✓� � �'�2 Date <br /> Environmental ealth Speciali d by <br /> Page 1 of 15 <br /> 12/9/98 <br /> A Division of Sm)o:quin Coanry Hadch Care Services <br />