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PUBLIC HEALTH SERVICES <br />=a <br />SAN JOAQUIN COUNTY < <br />ENVIRONMENTAL HEALTH DIVISION . <br />J. <br />Karen Furst, M.D., M.P.H., Health Officer <br />304 East Weber Avenue, Third Floor • Stockton, CA 95202 <br />209/468-3420 <br />UNIFIED PROGRAM HAZARDOUS WASTE INSPECTION REPORT <br />Facility Name <br />Address lLU W <br />city <br />NIO�h" ICC State CA Zip Code <br />Ci <br />EPA I.D.Number CADag2 SZ <br />Facility Contact <br />'�1f aC. EYIOS Phone <br />Consent Given By <br />Inspection Date(s) 1� <br />'L(p ZGOI Inspection Type (circle): Routi Complaint Follow -Up <br />REPRESENTATIVES PRESENT <br />Title <br />Organization <br />Nam e YIOS �n�r M(Iin(�(,1P1(' �l <br />1 n � <br />relating to the management of <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) 9 <br />hazardous waste. The viions may be note sheets. <br />evaluation of the informationlatobtained during the inspection, PHS-EHD may inform youcribed in more detail on theeof additional v olat onsr completing the <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 provideIth d may result in San Joaquin County Public Health <br />Report does not preclude PHS -END Ifromon tak ng aDny admin stratve ) citing you for continuing/additionallr m al action as la result of the violationnce of this s noted. <br />on <br />&AA <br />Environmental a Ith S ci list <br />Rec ived by Date <br />Page 1 of <br />12/9/98 <br />A Division of San Joaquin County Health Care Services <br />