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v <br /> PUBLIC HEALTH SERVICES ,oar�o <br /> SAN JOAQUIN COUNTY _ <br /> c •Z� <br /> ENVIRONMENTAL HEALTH DIVISION <br /> Karen Furst, M.D., M.P.H., Health Officer • c�.•, a <br /> �/FORM <br /> 304 East Weber Avenue,Third Floor • Stockton, CA 95202 <br /> 209/468-3420 <br /> UNIFIED PROGRAM HAZARDOUS WASTEI INSPECTION REPORT <br /> Facility Name <br /> 0(kQ <br /> Address J 5ra ' �} > —7/ <br /> City �^ State CA Zip Code /�l S /lO <br /> EPA I.D.Number (7j <br /> Facility Contact Phone <br /> Consent Given By �C4t C I M, 1 C rlr a /- <br /> Inspection Date(s) �� U© Inspection Type (circle): Routine Complai Follow-Up <br /> REPRESENTATIVES PRESENT <br /> N,aTe Title Ization <br /> arga <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 nvironmental Health Division (PHS-EHD) citing you for continuing/additional violations. Issuance of this Inspection <br /> Re esnot pr c de PHS-EHD from taking any administrative,civil or criminal action as a result of the violations noted. <br /> i men I ealth Specialist Rec iv y ` DaUW <br /> 12/9/98 Page 1 of <br /> A Division of San Joaquin County Health Care Services <br />