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r �EALTH SERVICES <br /> PUBLIC H y: : <br /> SAN JOAQUIN COUNTY A <br /> ENVIRONMENTAL HEALTH DIVISION <br /> Karen Furst, M.D., M.F.H., Health Officer • �`' . :� <br /> '�C%PORP <br /> 304 East Weber Avenue,Third Floor • Stockton, CA 95202 <br /> 209/468-3420 <br /> UNIFIED PROGRAM HAZARDOUS WASTE INSPECTION REPORT <br /> Facility Name 1 ®' _ p I <br /> Address s'SS- Zo �``A & (V_ �C <br /> City C4,kA- State CA Zip Code �I 5336 <br /> EPA I.D.Numbere �D�/� xn3-d 3 S03 <br /> _ / <br /> Facility Contact__714 O�AS� Phone <br /> Consent Given By Se— <br /> Inspection Date(s) Inspection Type (circle): out/ Complaint Follow-Up <br /> REPRESENTATIVES PRESENT <br /> Name Title Organization <br /> 063 0�7 <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. 30 <br /> If any violations are noted, the facility is required to submit a signed Certification of Return to Compliance within//pu <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 /> EAlvifonmental Health Specialist ceived by Date <br /> 12/9/98 Page 1 of b <br /> A Division of San Joaquin County Health Care Services <br />