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PUBLIC HEALTH SERVICES <br /> c0� <br /> SAN JOAQUIN COUNTY r. <br /> ENVIRONMENTAL HEALTH DIVISION <br /> Karen Furst, M.D., M.P.H., Health Officer. P.. <br /> 304 East Weber Avenue, Third Floor • Stockton, CA 95202 crFaa� <br /> 209/468-3420 <br /> UNIFIED PROGRAM HAZARDOUS WASTE INSPECTION REPORT <br /> i <br /> Facility Name � /�DYCfL� <br /> Address Q 7 U <br /> n / C <br /> City `fes State CA Zip Code <br /> EPA I.D.Number a q 4/,t <br /> Facility Contact J kl lJ1r{tQ/1'/"^ Phone 6 q — <br /> Consent Given By , yA, �lYrr� U <br /> Inspection Date(s)r Inspection Type (circle): ou�tin Complaint Follow-Up <br /> REPRESENTATIVES PRESENT( (� / o`M ' <br /> Name Title ^/ Organization <br /> 2 2 <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 /> Servi s-Environmental Health Division (PHS-EHD) citing you for continuing/additional violations. Issuance of this Inspection <br /> Re doe <br /> s not tpre 6) PHS-EHD from taking any administrative,civil or criminal action as a result of the violations noted. <br /> Environmental ealth Specialist eceived by Date <br /> 12/9/98 Page 1 of_ <br /> A Division of San Joaquin County Health Care Services <br />