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PUBLIC AEALTH SER`A-CES Uiry <br /> SAN JOAQUIN COUNTY <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 c4Ciko RN P <br /> 209/468-3420 <br /> HAZARDOUS WASTE INSPECTION REPORT <br /> Facility Name ,_JAY ElrGIpnn Gs <br /> Address' 44/)D 2A&2d s-�> 101-12 � lam <br /> City It^„> ccr State CA Zip Code 9,o5 :;:3 7 <br /> EPA I.D.Number (21 600 Lk.2 <br /> Facility Contact A' // Y ,tet _Phone R.25 — 83,/4 / <br /> Consent Given By E, Jl A �-f / <br /> Inspection Date(s)I2� Inspection Type (circle) Routine Complaint Follow-Up <br /> REPRESENTATIVES PRESENT <br /> Name Title Or nization <br /> 'P,k" J IAA, C,Ir.//e r _ �� <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 noted. ) / <br /> G�y�-cam- <br /> Registered Environmental Health Specialist Received by Date <br /> 12/9/94 Page 1 of JL <br /> A Division of San Joaquin County Health Care Services <br />