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SAN JOAQUIN COUNTY 10 Ca,,\ <br /> ENVIRONMENTAL HEALTH DIVISION <br /> Ernest M. Fujimoto, M.D., M.P.H., Acting Health Officer <br /> 304 E.Weber Ave.. 3rd Floor 9 P. O. Box 388 0 Stockton. CA 95201-0388 <br /> 209/468-3420 <br /> HAZARDOUS WASTE INSPECTION REPORT <br /> Facility Name <br /> Address <br /> City Q6 1,t,- State CA Zip Code <br /> EPA I.D.Number �_fi-'7Q 5(OV <br /> Facility Contact \o cTl_i Phone SCJ'l— <br /> Consent Given By dLLU" <br /> Inspection Date(s) 10 3 0 .27 inspection Type (circle)(_Rcutino Complaint Follow-Up <br /> REPRESENTATIVES PRESENT <br /> Name Title Organization <br /> ff-p— <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-RHD) 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 /> 7 <br /> Registered Environmental Health Specialist Recvv/ed by Date <br /> 12/9/94 Page 1 of 4- <br /> A Division of san Joaquin County Health Care >ervices <br />