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PUBLIC HEALTH SERVICES <br /> SAN JOAQUIN COUNTY <br /> 2: c <br /> ENVIRONMENTAL HEALTH DMSION <br /> Karen Furst, M.D., M.P.H., Health Officer .. <br /> 304 East Weber Avenue,Third Floor • Stockton, CA 95202 '�reonT P <br /> 209/468-3420 <br /> UNIFIED PROGRAM HAZARDOUS WASTE INSPECTION REPORT <br /> Facility Name bAhTUAl OM� <br /> Address `I ZQ Q. mayy I YV e*- ( C(XISL- (V <br /> City stpctAyn State CA Zip Code g6zi 7 <br /> EPA I.D.Number CA LC H 353Li 917— <br /> Facility <br /> 17 Facility Contact pw wlJV sem Phone <br /> Consent Given By pQ.I.LQ 'T/A ✓tC PX\ <br /> Inspection Date(s) 3I IOI ZD00 Inspection Type (circle): Routine ComplaintIlow-Up <br /> �C2,t►�spe�cfiw,-, <br /> REPRESENTATIVES PRESENT <br /> Names � � STI;IS "anization <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 conUnuing/additional violations. Issuance of this Inspection <br /> Report does not preclude PHS-EHD from taking any administrative,civil or criminal action as a result of the violations noted. <br /> Environmental Heallj Special' t eceived by Date <br /> 12/9/98 Page 1 of <br /> A Division of SanJoaquin County Health Care Scrvices <br />