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PUBLIC HEALTH SERVICES �OPAutN . <br />SAN JOAQUIN COUNTY r' c <br />ENVIRONMENTAL HEALTH DIVISION <br />Karen Furst, M.D., M.P.H., Health Officer.. <br />304 East Weber Avenue, Third Floor •Stockton, CA 95202 <br />,� FORN`P <br />209/468-3420 <br />UNIFIED PROGRAM HAZARDOUS WASTE INSPECTION REPORT <br />Facility Name `TY <br />Address <br />City S+bc_k D el State CA Zip Code <br />EPA I.D.Number GPrb 911? Z,3 -'+0 & Z1 <br />Facility Contact ai M N2 c'j Phone i- fl- 141(7 `4000 <br />Consent Given By i�' m Nc'a <br />Inspection Date(s) ILAZ9 ( 9 9 Inspection Type (circle): outiri Complaint Follow -Up <br />REPRESENTATIVES PRESENT <br />Organization <br />Nat wh �� gnvlraTitle nt�a+t«� EiJ�Wy T`f cA <br />cL Ifjsl K E I SS pt},$ / tt <br />icla a 12Eti- s ?"/Ftib <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 administrative, civil or criminal action as a result of the violations noted. <br />Environmental Health Specialist a6ceived by Date <br />12/9/98 Page 1 of <br />A Division of San Joaquin County Health Care Services <br />