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� v <br />SAN JOAQUIN COUNTY 9 - SAW <br />ENVIRONMENTAL HEALTH DIVISION <br />Karen Furst, M.D., M.P.H., Health Officer®® <br />304 East Weber Avenue, Third Floor - Stockton, CA 95202 <br />209/468-3420ENVIR®N�EN�AL h" °_ <br />PERM,- ISERVICES <br />r --• . -��iij• -•_ <br />Facility Name <br />Address '• ♦ <br />City Urn`_ State CA Zip Code <br />Facility Contact -1D00 SCC Phone's <br />Consent Given By " IbP\(_'I <br />Inspection Date(s) \L \ Inspection Type (circle): Routine Complaint Follow -Up <br />Name Title Organization <br />___S <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 does not preclude PHS-EHD from taking any administrative, civil or criminal action as a result of the violations noted. <br />�Eironm al al ` cialist c ed by Date <br />12/9/98 Page 1 of <br />A Division of San Joaquin County Health Care Services <br />