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PUBLIC HEALTH SERVICES �a <br /> SAN JOAQUIN COUNTY =` <br /> ENVIRONMENTAL HEALTH DMSION <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 D <br /> Address liiSe <br /> city <br /> �fil,� ^ f(7(� State CA Zip Code alrj�v�7� <br /> EPA I.D.Number <br /> ' ' n Phone �'��+-a 9'3 -9 D <br /> Facility Contact �'l�—S��' <br /> Consent Given By S� C�— <br /> Inspection Date(s) L L I1 I ( Inspection Type (circle): Routine Complaint Follo.v-Up <br /> REPRESENTATIVES PRESENT <br /> Noma <br /> zltle Organization <br /> K�FfS qi+S�-eHn <br /> I�SDv► D <br /> SP,rr�a- n�A�0.ap-Y- Gb �# t�DgD <br /> This report may identify conditions observed this day that are alleged to be violations of one or more sections of the Cali; TZ <br /> Health and Safety Cade (HSC) or the California Code of Regulations, Title 22 (22 CCR) relating to the managemen: c' <br /> hazardous waste. The violations may be described in more detail on the attached note sheets. After completing <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 6c <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 Hear: <br /> Services-Environmental Health Division (PHS-EHD) citing you for continuing/additional violations. Issuance of this Insoect,e <br /> Report does not preclude PHS-EHD from taldrig-any administrative,civil or criminal action as a result of the violations noted <br /> Environmental Healtpp, alist <br /> eceived by Date <br /> Page 1 of <br /> 12/9198 <br /> f Sa, oa uin County Healrh Care Services <br />