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PUBLK HEALTH SERfICES QUI,y <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DIVISION <br /> X <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 c4��FOR��P <br /> 209/468-3420 <br /> HAZARDOUS WASTE INSPECTION REPORT <br /> Facility Name S1GGA, 1 co,.I;A.1(c,PS <br /> Address /8'/6- I AVK D41vr. <br /> City State CA Zip Code 9�Z ,,6 <br /> EPA I.D.Number GAEL'Jrc7F'Fl y8'l/ <br /> Facility Contact _�i�i r,1411 O'11 -r- Phone X03/ <br /> Consent Given By 3(,-"17 a-,' <br /> Inspection Date(s) i�6��6 Inspection Type (circle).�out Complaint Follow-Up <br /> REPRESENTATIVES PRESENT <br /> Name n j Title Organiz tion <br /> � <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 /> Post-it®Fax Note 7671 Date 7 pages Page 1 of G <br /> To �iL, O From D, v <br /> /� quin County Health Care Services <br /> Co./Dept. Co. �.6p <br /> Phone# 7 �� Phone# <br />