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PUBLICOHEA T <br /> SE CES ,oaa...N...� <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DMSION A r <br /> Karen Furst, M.D., M.P.H., Health Officer <br /> r�. <br /> 304 East Weber Avenue, Third Floor • Stockton, CA 95202 '�;FOR��P <br /> 209/468-3420 <br /> s.� <br /> UNIFIED PROGRAM HAZARDOUS WASTE INSPECTION REPORT <br /> Facility Name <br /> Address -j <br /> City ' !' State CA Zip Code <br /> EPA I.D.Number j <br /> T <br /> Facility Contact �� ';'� r�-� �/'/,(� �;,�. � J Phone <br /> Consent Given By. °' '��� /�/Y' <br /> Inspection Date(s)% 1 - 1 (� Inspection Type (circle): Routin Complaint Follow-Up <br /> REPRESENTATIVES PRESENT <br /> Name Title Organization <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 /> Service Environmental Health Division (PHS-EHD) citing you for continuing/additional violations. Issuance of this Inspection <br /> Repo, oes not preclude PHS-EHD from taking any administrative, civil or criminal action as a result of the violations noted. <br /> nvironmental ealth Specialist Received by Date <br /> 12/9/98 Page 1 of <br /> A Division of San Joaquin County Health Care Services <br />