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PUBLIC 1EALTH SERV*ICES a�.N <br /> P <br /> SAN JOAQUIN COUNTY �o� <br /> L Z <br /> ENVIRONMENTAL HEALTH DIVISION <br /> Ernest M. Fujimoto, M.D., M.P.H., Acting Health Officer <br /> 304 E.Weber Ave., 3rd Floor • P. O. Box 388 • Stockton, CA 95201-0388 <br /> 209/468-3420 �rFo <br /> HAZARDOUS WASTE INSPECTION REPORT <br /> Facility Name "_- oW' n/zw2, <br /> Address / 7/00 5 i✓A G4n oo4J> <br /> City G4-7w�PoP State CA Zip Code 95330 <br /> EPA I.D.Number 21D 2FoZ 37Z 269 <br /> Facility Contact ::SA- i CF SGTr Phone(2�?) Z`tea' <br /> Consent Given By _ -A'c GFSLfF <br /> Inspection Date(s) C::1(7/-7& Inspection Type (circle)outme omplaint Follow-Up <br /> REPRESENTATIVES PRESENT <br /> Name Titl@ Organization <br /> �TAb LI=yGS� /Qyi� L � AW'S i�'I Cv . TiJC- <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 nate <br /> Registered Environmental Health Specialist Received by Date <br /> 12/9/94 Page 1 of <br /> A Division of San Joaquin County Health Care Services <br />