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FROM C. De Jong Truck PHONE NO. : 209 599 2071 DE:c. 00 1999 05:127tl P2 <br /> PUBIL.-JC HLALTH S <br /> SAN JOAQVfN WLN-f-y <br /> ENMR0NMFNTAj,HFALTH DWISION <br /> Ka-mn Furst,M.D.,MXH., Hez-1th Officer <br /> 3()4 East Wclxr.Avco e,Third Floor- Stackmn, CA 95202- Fp <br /> 2091468-342o <br /> UNIFIED PROGRAM HAZARDOUS WASTE INSPECTION REPORT <br /> Facility Name <br /> Address <br /> city E State CA Zip Code <br /> EPA I.D,N=be-r CA q <br /> FacilityContactla" phone <br /> Consent Given By_ LA9fLy 2z��a (3 <br /> Inspoctlor, Date(s inspection Type(circle): Complaint Follow-Up <br /> RF,PRESENTATIVES PRESENT <br /> Name Title organization <br /> +-!Y bL4S <br /> This report may identify conditions observed this&Ay that arcs alleged to be violations of ono or more sac-hors of the California <br /> '�e management Health and Safety Code (HSC) or ttie Calftmiia Code of ReguVons, Title 27 (22 CVR) relating to -le"it of <br /> hazardous waste. The Violations may be described in more detail on the attached note sheets. , ter cQnipleting <br /> evaluebon of the information obtained during the irsspection, PHS-EHD may inform you of additional violations. <br /> It anv violaffiom are noted, the facility is required to submit a signed Certifl"Von of Return to Cornpliancewithin W <br /> days,unfos$Otherwise 4pecified to certification forma is provided)- <br /> Failure to oorred these violabons w**) the scheduled period provided may result in Son Jooquin County Pubic Health <br /> Services-Environmental lkepafth Division(PHS-EHO)citing you for confinuiVaddidonal violations- Issuance of this Inspeotion <br /> Report does not pr—c-lude PHS-EHD from taking any adrin-imsiTative,rM!o- -inal on a rasuit of the violations noteo, <br /> ley LO I?En rttat Health Speawlalist <br /> 77 <br /> —Rea V�Y <br /> edb Date <br /> 12/9M Pagel of 14 <br />