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PUBLIC f EALTH SERV?CES <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DIVISION !� <br /> ¢ :< <br /> Ernest M. Fujimoto, M.D., M.P.H., Acting Health Officer <br /> 304 E.Weber Ave.. 3rd Floor • P. O. Box 388 • Stockton, CA 95241-0388 <br /> 209/468-3420 o R <br /> HAZARDOUS WASTE INSPECTION REPORT <br /> Facility Name S <br /> Address T % .N _V <br /> City ' C"z" State CA Zip Code �L_s--W3 _ <br /> EPA I.D.Number 9t 11 Z 0 <br /> Facility Contact �, fi � cJ4. __. Phone — 6:5- 7 3% <br /> Consent Given By J r�6 drel 0"' -- — <br /> Inspection Date(s) 2-—17 fL6 Inspection Type (circle): outi Cc:mplaii Follow-Up <br /> REPRESENTATIVES PRESENT <br /> Name Title Organization <br /> ,:Kb LmA afro 0.- _ If re 5"43ke�Ta S 82 <br /> This report may identify conditions observed this day that are alleged to be violations of one cr more sections of the <br /> California Health and Safety Cade (HSC) or the California Code of Regulations, Title 22 ( 2 CCR) a alating to the <br /> management of hazardous waste. The violations may be described in more detail on the attac!ied note sheets. After <br /> completing the evaluation of the information obtained during the inspection, PHS-END may inform you of additional <br /> vioiations. <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 viol,;ons. lssssance 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 /> 6LIJAI <br /> Registered Environmental Health Specialist Rec ived by Date <br /> 12/9/94 =age 1 of <br /> A Division of San.Inaquin County Health Care Services <br />