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PUBLIC 9EALTH SERVICES "deo <br /> SAN JOAQUIN COUNTY r <br /> ENVIRONMENTAL HEALTH DIVISION ` <br /> Ernest M. Fujimoto, M.D., M.P.H., Acting Health Officer <br /> q P <br /> 445 N. San Joaquin Street • P.O. Box 388 • Stockton, CA 95201-0388 <br /> (209) 468-3420 <br /> HAZARDOUS WASTE INSPECTION REPORT <br /> e. <br /> Facility Name r 9� a <br /> Y <br /> Address CSQAl� .19! 'a. <br /> City & e2� State CA Zip Code �i o <br /> EPA I.D.Number CAEL)Ql_a Y 4.3 5 <br /> Facility Contact -3"e 11 Pq !ti S Phone Cao n FA3-3 42 <br /> Consent Given By ce <br /> la- 61- qAf -�� <br /> Inspection Date(s) / a- 9— �� Inspection Type (circle): Routine Complaint Follow-Up <br /> REPRESENTATIVES PRESENT <br /> Name!/ /a_ Title Organization r� <br /> ShAinp. 1L C Co� . T, k Ii cG � <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-EHD) 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 /> Registered Environmental Health Specialist Received by Date <br /> 12/9/94 Page 1 of <br /> A Ui ,iun of Stu.lunyuin(buns) Health C'arc Scnicc, <br />