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PUBLIC HEALTH SERVICES <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DMSION <br /> Karen Furst, M.D., M.P.H., Health Officer P <br /> 304 East Weber Avenue, Third Floor • Stockton, CA 95202 <br /> 209/468-3420 <br /> UNIFIED PROGRAM HAZARDOUS WASTE INSPECTION REPORT <br /> Facility Name L01)I mom` L � <br /> Address 13 �1 c'l�lYi 9T <br /> City �--:�1�i <br /> State CA Zip Code 9 S 01 CIO <br /> EPA I.D.Number <br /> Facility Contact _Th-WZe,SIk 1-ftr,<�AhS Phone �- <br /> Consent Given By ►f� �1� <br /> Inspection Date(s) SI Inspection Type (circle): outin Complaint Follow-Up <br /> REPRESENTATIVES PRESENT <br /> Name Titlerganization <br /> D �t1 ia N D i — 'SEAM <br /> d <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 continuing/additional violations. Issuance of this Inspection <br /> Report d es nota preclude PHS-EHD from taking any administrative,civil or criminal action as a result of the violations noted. <br /> t -c <br /> Environmental Health Specialist Received by D e <br /> 12/9/98 Page 1 of.� <br /> A Division of San Joaquin Counry Hcalth Care Services <br />