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PUBUCOFEALTH SERVICES <br /> SAN JOAQUIN COUNTY <br /> NVIRONMENTAL HEALTH DIVISION <br /> Ernest M. Fujimoto, M.D., M.P.H., Acting Health Officer I f <br /> 304 E.Weber Ave., 3rd Floor • P. O. Box 388 • Stockton, CA 95201-0388 C9LjF R�\P <br /> 209/468-3420 ° <br /> HAZARDOUS WASTE INSPECTION REPORT <br /> Facility Name <br /> Address 6/1 t r:-- <br /> city <br /> City a -' State CA Zip Code <br /> EPA I.D.Number <br /> Facility Contact i>/l Phon <br /> Consent Given By )eoA <br /> Inspection Date(s) /U Inspection Type (circle):(Routirie cmplaint Follow-Up <br /> REPRESENTATIVES PRESENT <br /> Name Title Organization <br /> a.�T- Z P --njin <br /> This report may identify condit ons observed this day that are alleged to be violations of one or more sections of the <br /> California Health and Safety ode (HSC) or the California Cade of Regulations, Title 22 (22 CCR) relating to the <br /> management of hazardous wa e. The violations may be described in more detail on the attached note sheets. After <br /> completing the evaluation of t e 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 speciled (A certification form is provided). <br /> Failure to correct these violatio s within the scheduled period provided may result in San Joaquin County Public Health <br /> Seryices-Environmental Health Division (PHS-EHD) citing you for continuing/additional violations. Issuance of this <br /> Inspection Report does not pre Pude PHS-EHD from taking any administrative, civil or criminal action as a result of the <br /> violations noted. <br /> Registered Environmental Healti Specialist Received by Date <br /> 12/9/94 Page 1 of —7 <br /> A Division of San Joaquin Countv Health Care Services <br />