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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 �P <br /> 304 East Weber Avenue, Thiid Floor• Stockton, CA 95202 <br /> 2091468-3420 <br /> UNIFIED PROGRAM HAZARDOUS WASTE INSPECTION REPORT <br /> Facility Name <br /> Address 149 - 1 R&o1�_� <br /> City State CA Zip Code Q O - O 8 <br /> EPA I.D.Number Ck C- (� Y <5 $ f �`� O <br /> Facility Contact Phone r r 4 <br /> Consent Given By Dohme riY{a1 CD <br /> Inspection Dates) ) Inspection Type (circle): Routine Complaint Follow-Up <br /> REPRESENTATIVES PRESENT <br /> NameTie f, Organization <br /> wa& ' 5 OY <br /> _5 C s 9, H n <br /> vox -S <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 prov'Qed may result in San Joaquin County Public Health <br /> Services-Environmental Health Division (PHS-EHD) citing you for ntinuingladditional violations. Issuance of this inspection <br /> Report does not preclude PHS-EHD from taking any admini4eceive�d <br /> or c ' inal action as a result of the violations noted. <br /> 1�1 Ab AA <br /> Environmental I- alt Sp i fist D to <br /> ty9/98 Page 1 of <br /> A Division of San Joaquin County Health Care Services <br />