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1 ' Y <br /> PUBLIPHEALTH SER'FfICES <br /> P......N,. <br /> aut <br /> SAN JOAQUIN COUNTY " c°c <br /> ENVIRONMENTAL HEALTH DIVISION N /A <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 <br /> 209/468-3420 <br /> HAZARDOUS WASTE INSPECTION REPORT <br /> Facility Name <br /> 3 2-15- <br /> Address <br /> City JA State CA Zip Code <br /> EPA LD.Number r�ftC- U / 'QC, /G c� <br /> Facility Contact S e42 dr rP.4.,, Phone <br /> Consent Given By u <br /> Inspection Date(s) — 1 ..7 Inspection Type (circle)Qouti Complaint Follow-Up <br /> REPRESENTATIVES PRESENT <br /> Name Title 2 143 Organization <br /> Ll If 2 <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 ;Zceived by .� = �' Date <br /> + I <br /> 6 <br /> 12/9/94 •_% Page 1 of <br /> A Division of San Joaquin County Health Care Services <br />