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0 0 <br /> PUBLIC HEALTH SERVICES <br /> r.' <br /> ENVIRONMENTAL HEALTH DIVISION <br /> I <br /> Ernest M. Fujimoto, M.D., M.P.H., Acting Health Officer <br /> 304 E.Weber Ave., 3rd Floor • P. O. Box 388 • Stockton, CA 95201-0388 c'tiFORN`P <br /> 209/468-3420 <br /> HAZARDOUS WASTE INSPECTION REPORT <br /> Facility Name I <br /> Address <br /> City AN G I� (Yr r(� State CA Zip Code <br /> EPA I.D.Number LA [� ��G�x <br /> � J -3 <br /> A71 96 _3 �_ <br /> Facility Contact e 044 w MmAlf q�Phone(,26 q) .31=53l5 <br /> Consent Given By citi�e Q five (� <br /> 9 _' && � <br /> Inspection Date(s) In- Inspection Type (circle): 4outine Complaint Follow-Up <br /> REPRESENTATIVES PRESENT <br /> N me Title Organizatio <br /> (11i .a GS�tAi4/.vt o <br /> LOtl'fi cc, Rr e�acS, S -60rer PH S - ,Eff n <br /> This report may identify conditions observed this day that are alleged to be violations of one or more sections of the <br /> California Health and Safety Code (HSC) or the California Code of Regulations, Title 22 (22 CCR) relating to the <br /> management of hazardous waste. The violations may be described in more detail on the attached note sheets. After <br /> completing the evaluation of the information obtained during the inspection, PHS-EHD may inform you of additional <br /> 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 <br /> Inspection Report does not preclude PHS-EHD from taking any administrative, civil or criminal action as a result of the <br /> violations noted. <br /> /�UCCdiI�• rr�E.4� .Cf n 4S2a �a 9 - nLc.-9 ro <br /> Registered Environmental Health Specialist Received by Date <br /> 12/9/94 Page 1 of <br /> A Division or San .loayuin County Health Care Services <br />