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PUBLIC HEALTH SERVICES <br /> SAN JOAQUIN COUNTY = a <br /> ENVIRONMENTAL HEALTH DIVISION <br /> Karen Furst, M.D., M.P.H., Health Officer {.,, <br /> ��FOR <br /> 304 East Weber Avenue,Third Floor• Stockton, CA 95202 <br /> 209/468-3420 <br /> UNIFIED PROGRAM HAZARDOUS WASTE INSPECTION REPORT <br /> Facility Name <br /> Address /11 -3t� �A <br /> City 5-6)© r. / \ _State CA Zip Code ?,'5a O <br /> EPA I.D.Number CAL 0000 3772 to <br /> Facility Contact r&M ( /C/�air / Phone <br /> r' <br /> Consent Given By PryW0,44,A <br /> Inspection Date(s) '?-9-00 Inspection Type (circle): Routine Complaint . Follow-- <br /> r-.0 It <br /> REPRESENTATIVES PRESENT <br /> ,Name Title e Orga ization <br /> H . D. <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 /> g/ C1=� t t RC 1 <br /> nmental Health S ecial' t Received by Date <br /> 12/9/98 Page 1 of,7 <br /> A Division of San Joaquin Counry Health Care Services <br />