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A I PUBLIC tEALTH SERVICES <br />SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DIVISION <br />Ernest M. Fujimoto, M.D., M.P.H., Acting Health Officer <br />445 N. San Joaquin Street a P.O. Box 388 • Stockton, SCA 95201-0388 <br />(209) 468-3420 <br />HAZARDOUS WASTE INSPECTION REPORT <br />Facility Name <br />Address <br />City 5 c> State CA Zip Code 67zlofo <br />EPA I.D.Number CAD 9 4 9 <br />Facility Contact J AS Cr Phone (Zag) 94$- o jqq <br />Consent Given By "� � 6. <br />Inspection Date(s)_7✓L- 614 � Inspection Type (circle): Routin Complaint Follow -Up <br />Name <br />4�rCE 6. L <br />REPRESENTATIVES PRESENT <br />Title Organization <br />�riAST� 7�`Tfrsvr�r� G. <br />Tilis 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 />12/9/94 Page 1 of 4 <br />A DiNkiun Hl' San ,juaquin ('Hunt) Health ('111'0 Scr)ice, <br />