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PUBLIC HEALTH SERV?CES <br /> SAN JOAQUIN COUNTY : ` <br /> ENVIRONMENTAL HEALTH DIVISION ` <br /> Karen Furst, M.D., M.P.H., Health Officer <br /> ,CiF onN� <br /> 304 East Weber Avenue, Third Floor • Stockton, CA 95202 <br /> 209/468-3420 <br /> UNIFIED PROGRAM HAZARDOUS WASTE INSPECTION REPORT <br /> Facility Name A ' — f-(IVl�-z'Y.0 SSI oV1S <br /> Address1� 3 <br /> City `tUC � State C Zip Code �S a <br /> EPAI.D.Number 0jkL <br /> Facility Contact 3 L, l 9 ( IA10. Phone <br /> Consent Given By 'Som U^ w <br /> Inspection Date(s) Inspection Type (circle): Routine Complaint Follow-Up <br /> REPRESENTATIVES PRESENT <br /> Name Title Organization <br /> �a'l <br /> `S C .�• <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 /> AA ( Aa00 Q <&�4o AA�-1 - I <br /> Environmental Health Specialist �j Rect(i ed by Date c <br /> 12/9/98 Page 1 of—) <br /> A Division of San Joaquin Counry Healch Care Services <br />