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PUBLICtEALTH SEM CES <br /> PIN <br /> C <br /> SAN JOAQUIN COUNTY <br /> r. <br /> ENVIRONMENTAL HEALTH DIVISION <br /> Ernest M. Fujimoto, M.D., M.P.H., Acting Health Officer Z. <br /> 304 E.Weber Ave., 3rd Floor • P. O. Box 388 • Stockton, CA 95201-0388 <br /> 209/468-3420 <tFOR <br /> HAZARDOUS WASTE INSPECTION REPORT <br /> Facility Name 1,1,0313 'r 0 w 4�2 FoAi 2 i-_E, - <br /> Address Soo ,E 40 yam Ave-- <br /> city ZAT-114c,"', State CA Zip Code �j�j4ilD <br /> EPA I.D.Number Ga�oor�/r�i 63 2i <br /> Facility Contact Phone &�_4 7�8 - 6207- <br /> Consent Given By -7:5-71 W6195 <br /> Inspection Date(s) Inspection Type (circle): outine Complaint Follow-Up <br /> REPRESENTATIVES PRESENT <br /> Nam Title y �`�, Organization <br /> _=Z Lv ie rS9191 — 6,j.y,E�rrIL Gon,+e0iryg G - O - F_ <br /> EG/G E <br /> &/_1 F d�z S.-S Z.O. 101k- <br /> This <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 /> Registered Environmental Health Specialist Received by Date <br /> 19/94 Page 1 of 3 <br /> A Division of San Joaquin County Health Care Services - <br />