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PUBLIC HEALTH SERVICES <br /> SAN JOAQUIN COUNTY Z <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 ISE —AS'&_W IOM Gygv DV15 <br /> Address L400 + GLiL V UKVVP, <br /> City M0AW'CCL_ State CA Zip Code q 5337 <br /> EPA I.D.Number CA'r 000 b4(P 19Z <br /> Facility Contact ftdob U Phone <br /> Consent Given By rgw!A ++Wbb U <br /> Inspection Date(s) 5�1 0)_Inspection Type (circle): Couitinee )Corriplaint Follow-Up <br /> REPRESENTATIVES PRESENT <br /> Name Title Organization <br /> r s Si RE _ PHS 9 HO <br /> D I 5 r� <br /> v ISE <br /> 0 <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�-�E�H,D�frof�m taking any administrative,civil or criminal action as a result of the violations noted. <br /> Uv�� _ 3 -,4ri <br /> Environmental H a h Spe al st kebeiveV Date <br /> 12/9/98 Page 1 of 5 <br /> A Division of San Joaquin County Health Care Services <br />