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PUBLIC HEALTH SERVICES <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DIVISION <br /> Ernest M. Fujimoto, M.D., M.P.H., Acting Health Officer • c,., P <br /> /FOR, <br /> 445 <br /> 445 N. San Joaquin Street • P.O. Bos 388 • Stockton, CA 95201-0388 <br /> (209) 468-3420 <br /> HAZARDOUS WASTE INSPECTION REPORT <br /> Facility Name _Lr4d V�tG=c--T'n nr t C:;5- <br /> Address <br /> SAddress ��,_12D ttS+ I A-1- �i2/C N21 Vie—, , �X Z 30/ <br /> City ��A b41TeLG4— d State CA Zip Code <br /> EPA I.D.Number 6ATDDD <br /> Facility Contact t'il/iC�/'A A-1 Phone <br /> Consent Given By l/Vz Z,41--1,4,14 <br /> Inspection Date(s) /3 —� i/ Inspection Type (circle): E3 <br /> Complaint Follow-Up <br /> REPRESENTATIVES PRESENT <br /> Name Title Organization <br /> - 2A-ZR L P 0 &AS ��P�?L /f/— �•t dy �C �Ti2d Nl ICS <br /> a �— K SIV S SA a JO C.0 ._ Y & <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 /> Registered Environmental Health Specialist Received by Date <br /> 12/9/94 Page 1 of <br /> A Ilmkmn ulSun .luaquin Cnnnh I1'Ath C'nfr Sanict' <br />