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PUBLIC HEALTH SERVICES f 'O p4 p`i <br /> SAN JOAQUIN COUNTYy: <br /> ENVIRONMENTAL HEALTH DIVISION <br /> Karen Furst, M.D., M.P.H., Health Officer <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 <br /> City (S7/� L fC State CA Zip Code 6- <br /> EPA <br /> EPA I.D.Number <br /> Facility Contact JbLLwe � Phone p <br /> Consent Given By <br /> Inspection Date(s) Inspection Type (circle): Routine omplaint Follow-Up <br /> REPRESENTATIVES PRESENT <br /> Nay1m�e� �j� Titlen! Organizatinon <br /> /J fft�Z, ..� ra VLf <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 <br /> cofftthe <br /> ,violations <br /> noted. <br /> nv ronmental Health Special eived by Date <br /> 12/91 <br /> 98 Page 1 of <br /> A Division of San Joaquin Counry Health Carc Services <br />