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s <br /> PUBLI ITEALTH SERV?CES �0,.*4 •�0 <br /> SAN JOAQUIN COUNTY y� <br /> E RONMENTAL HEALTH DMSION <br /> en Furst, M.D., M.P.H., Health Officer � <br /> 304 East eber Avenue, Third Floor• Stockton, CA 95202 <br /> 209/468-3420 <br /> UNIFIED ROGRAM HAZARDOUS WASTE INSPECTION REPORT <br /> Facility Name �' �`, 1 L V <br /> Address l0�� ///"Ij <br /> City rct C-vj State CA Zip Code <br /> EPA I.D.Number <br /> Facility Contact VV Phone S �z z <br /> Consent Given By �5 y� b <br /> Inspection Dates i Inspection Type (circle): Routin Complaint Follow-Up <br /> REPRESENTATIVES PRESENT <br /> Name Title / �Opan* ation <br /> ���.f�� �r� l it � �✓�-..-/ s1— � �-� ��, � ! � �� <br /> This report may identify condition observed this day that are alleged to be violations of one or more sections of the California <br /> Health and Safety Code (HSC) r the California Code of Regulations, Title 22 (22 CCR) relating to the management of <br /> hazardous waste. The violation may be described in more detail on the attached note sheets. After completing the <br /> evaluation of the information obtai ed during the inspection, PHS-EHD may inform you of additional violations. <br /> If any violations are noted, the acility is required to submit a signed Certification of Return to Compliance within 60 <br /> days, unless otherwise specifie (A certification form is provided). <br /> Failure to correct these violation within the scheduled period provided may result in San Joaquin County Public Health <br /> Services-Environmental Health Di ision (PHS-EHD) citing you for continuing/additional violations. Issuance of this Inspection <br /> M <br /> 7:' <br /> HS-E D from taking any administrative,civil or criminal acti as a result of the violations noted. <br /> Environmental Health Specialist Receive by Da <br /> 12/9/98 Page 1 of <br /> A Division of San Joaquin County Health Care Services <br />