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PUBLIC HNEALTH SERVICESSA <br /> UIN COUNTY <br /> ENVIRONMENTAL HEALTH DIVISION <br /> Karen Furst, M.D., M.P.H., Health Officer c�.. <br /> 304 East Weber Avenue, Third Floor • Stockton, CA 95202 <br /> 209/468-3420 <br /> UNIFIED PROGRAM HAZARDOUS WASTE INSPECTION REPORT <br /> Facility Name 1 ' O <br /> Address c�aSL <br /> City Sl4 C� State CA Zip Code <br /> EPA I.D.Number CH &4,1 <br /> J (�� ���_�7 77 <br /> Facility Contact �0 , } o Phone 5 ,� 4,15- 4:719� <br /> Consent Given By <br /> Inspection Date(s) b '1 a' b l Inspection Type (circle): Routine Complain Follow-up <br /> 1 REPRESENTATIVES PRESENT <br /> Name Title Organization <br /> �i <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 anny�administrative,civil or criminal action as a result of the violations noted. <br /> En ironmental Health Spe#iiq Received by G(C'/A Date <br /> 5f C'(W&Y-L' C'4 9$a o <br /> 12/9/98 Page 1 o(—i <br /> A Division of San Joaquin County Health Care Services <br />