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PUBLIC tEALTH SER 'ICES <br /> OP4U1N <br /> SAN JOAQUIN COUNTY �� Z <br /> ENVIRONMENTAL HEALTH DMSION <br /> Karen Furst, M.D., M.P.H., Health Officer1 <br /> 304 East Weber Avenue,Third Floor • Stockton, CA 95202 %Foasi <br /> 209/468-3420 <br /> UNIFIED PROGRAM HAZARDOUS WASTE INSPECTION REPORT <br /> Facility Name <br /> Address <br /> State CA Zi 0/ <br /> City ` ��n. p Code <br /> EPA I.D.Number 6 74-f> 0 0 q `L �1 L 9,2' <br /> Facility Contact �b ''1 �'i Phone , q— C <br /> Consent.Given By � <br /> Inspection Date(s) • v-0 Inspection Type (circle): outine Complaint Follow-Up <br /> REPRESENTATIVES PRESENT <br /> Title Organizati p <br /> amet ' / 1 <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 /> J <br /> 0 <br /> Environmental Health Specialist Received by Dae <br /> 12/9/98 Page 1 of.,1 <br /> A Division of San Joaquin Counry Healrh Carc Scrviccs <br />