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PUBLIC HEALTH SERVICES <br /> SAN JOAQUIN COUNTY r. ` <br /> ENVIRONMENTAL HEALTH DIVISION <br /> Karen Furst, M.D., M.P.H., Health Officer, P. <br /> 304 East Weber Avenue, Third Floor • Stockton, CA 95202 t'F-"" <br /> 209/468-3420 <br /> UNIFIED PROGRAM HAZARDOUS WASTE INSPECTION REPORT <br /> nn <br /> Facility Name t z- Li y n4' C&Ae'oti na _im ' <br /> Address //S-:� y CER610 - G IQ-, <br /> City fV)Ajpj�GAs State CA Zip Code !t5 3 �- <br /> EPA I.D.Number CAL <br /> Facility Contact Qin Phone 8z3r�3� <br /> Consent Given By <br /> Inspection Date(s) 9 Inspection Type (circle): Routin Complaint Follow-Up <br /> REPRESENTATIVES PRESENT <br /> Name Title Organization <br /> M , Pft'vK=-� 2c Hs -PHS f EwK <br /> 2e- lmss.=�_ �"� rnm,r�� CkL wi5;3-- <br /> / 15A VA-, )E z <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 /> vir <br /> mental Health Specialist Aeved by r Da <br /> 12/9/98 -f-AK,-� `tC� Page 1 of <br /> A Division of San Joaquin County Health Care Services <br />