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PUBLIC HEALTH SERVICES �oP <br /> SAN JOAQUIN COUNTY Z <br /> ENVIRONMENTAL HEALTH DIVISION H: <br /> Karen Furst, M.D., M.P.H., Health Officer • .�4 ' . <br /> L;xeiR`' <br /> 304 East Weber Avenue, Third Floor • Stockton, CA 95202 <br /> 209/468-3420 <br /> UNIFIED PROGRAM HAZARDOUS WASTE INSPECTION REPORT <br /> Facility Name t5V__9P <br /> Address C K0!w <br /> CityState CA Zip Code 1 d <br /> EPA I.D.NumberT 12 <br /> Facility Contact Phone Ll <br /> Consent Given By govt, 1` obnaa <br /> Inspection Date(s) � 'ZQDA_lnspection Type (circle). R tine Complaint Follow-Up <br /> REPRESENTATIVES PRESENT <br /> Name Title Organization <br /> 1, o _ S Ws-� <br /> Jo n �9 <br /> This report may identify conditions observed this day that are alleged to be violations of one or more sections of the California <br /> Health and Safety Code (HSC) or the California Code of Regulations, Title 22 (22 CCR) relating to the management of <br /> hazardous waste. The violations may be described in more detail on the attached note sheets. After completing the <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 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 Inspection <br /> Report does not preclude PHS-EHD from taking any administrative,civil or criminal action as a result of the violations noted. <br /> Anviron'menLtaLlHe k Speci lis Receivr3bl by Date <br /> Page 1 of <br /> 1219/98 <br /> A Division oFSan Joaquin County Health Care Services <br />