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PUBLIC EALTH SERV C.ES OP4ut~'•C <br /> SAN JOAQUIN COUNTY a <br /> ENVIRONMENTAL HEALTH DIVISION <br /> Ernest M. Fujimoto, M.D., M.P.H., Acting Health Officer c.. <br /> 445 N. San Joaquin Street • P.O. Box 388 • Stockton, CA 95201-0388 <br /> (209) 468-3420 <br /> HAZARDOUS WASTE INSPECTION REPORT <br /> Facility Name <br /> Address I �k I'l f:� 2 r h 0-0. D'2'A-__ -t°� <br /> City S-kD r­­fr7ILP� State CA Zip Code f �S <br /> EPA I.D.Number CAD 0? 7 D& F'/a (o <br /> Facility Contact p► l��� Phone <br /> Consent Given By rOsklktb N;,6' <br /> Inspection Date(s) 7-13-75 Inspection Type (circle): 0outi2n ,Follow-Up <br /> REPRESENTATIVES PRESENT <br /> Name Title a Organization <br /> fi JP. Shod Orx�_rb�1,'nr�5 &,. ,,,�i�nJ <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 ad inistrative, civil or iminal 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 Di%ision of San Joaquin Counrh Health Marc Service. <br />