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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 a .P <br /> 304 East Weber Avenue, Third Floor • Stockton, CA 95202 <br /> 2091468-3420 <br /> UNIFIED PROGRAM HAZARDOUS WASTE INSPECTION REPORT <br /> Facility Name oC - <br /> Address <br /> City _ '� r � State CA Zip Code <br /> EPA I.D.Number C—iq 1' Ct go 750 7_5 <br /> �i <br /> Facility Contact C5-- Phone X26 <br /> r <br /> Consent Given By <br /> Inspection Date(s) lea 'a '' Inspection Type (circle): Routine Complaint Follow-Up <br /> REPRESENTATIVES GREsMT � <br /> Name Title Orga ization v <br /> Vul <br /> IS <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 /> 61 <br /> Env ronmental Heal h Speci i Received by Date <br /> 1219198 Page 1 of <br /> A Division of San Joaquin County Health Care Services <br />