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PUBLICIREALTH SERNOTES <br />SAN JOAQUIN COUNTY' �` <br />2 . <br />ENVIRONMENTAL HEALTH DIVISION rz_l; <br />Ernest M. Fujimoto, M.D.} M.P.H., Acting Health Officer <br />304 E.Weber Ave., 3rd Floor • P. O. Box 388 s Stockton. CA 95201-0388 <br />209/468-3420 <br />HAZARDOUS WASTE INSPECTION REPORT <br />Facility Name p(v161pal "i'r=712'a <br />Address v <br />City STS State CA Zip CodeZ©� <br />EPA I.D.Number <br />Facility Contact 6 -rJ0E4L PhoneZag) <br />Consent Given By r n G XA- 1 <br />Inspection Date(s) //5 '��' Inspection Type (circle):Coufin:e::)Com plaint Follow -Up <br />REPRESENTATIVES PRESENT <br />Name Title Organization <br />'S f �i4 i/1/i �1' /�Jkr'r!✓r r�fr44 S�4FfT /t* tS+Q G{,I� <br />G -7— <br />a <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 Recei ed by Date <br />12/9/94 Page 1 of <br />A Division or Sari Joaquin County Health Care Services <br />