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• 0 <br /> PUBLIC HEALTH SERVICES <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DMSION <br /> M.P.H., Health Officer <br /> Karen Furst, M.D., <br /> 304 East Weber Avenue, <br /> Third Floor <br /> 420• Stockton, CA 95202 <br /> UNIFIED PROGRAM HAZARDOUS WASTE INSPECTION REPORT <br /> Facility Name <br /> Address 1200, 5. 0 <br /> State CA Zip Code q5 3� <br /> city :0912 <br /> yy�� <br /> l.,/'fs/ <br /> EPA I.D.Number <br /> Facility Contact <br /> 114 t/O �/I( I�O•V1 (Q Phone I <br /> Consent Given By M <br /> Inspection Date(s) <br /> Inspection Type (circle): outine Complaint Follow-Up <br /> REPRESENTATIVES PRESENT <br /> Name Title � � <br /> Organization <br /> I I s SY <br /> Flo <br /> to be violations <br /> one or more <br /> ons of the <br /> This report may identify a (HSC) orobserved this <br /> the CaliforniaaCode ofeReg Regulations. <br /> Title 22 (22fCCR) relating totlthe management nt <br /> Health and Safety Code (HSC) be described in more detail on the attached note sheets. After completing t'n <br /> hazardous waste. The violations may <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 E <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 Hea titin you for continuing/additional violations. issuance of this Inspectil <br /> Services-Environmental Health Division (PHS-EH9 <br /> Report does not preclude PHS-EHD from taking any admin4lecei.,edby <br /> iil or criminal action as a result of the violations noted. <br /> . , von <br /> eciali <br /> Dat <br /> Environmental He Sp <br /> Page 1 of,5_ <br /> 12/9198 <br /> A Division oFSaa Joaquin Counry Health Carc Santa <br />