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PUB I HEALTH SERVICES a.�,N <br /> �o <br /> SAN JOAQUIN COUNTY Z.• .� <br /> ENVIRONMENTAL HEALTH DIVISION <br /> Ernes M. Fujimoto, M.D., M.P.H., Acting Health Officer <br /> 445 N. San Joaquin Street • P. O. Box 388 • Stockton, CA 95201-0388 <br /> 209/468-3420 <br /> HAZARDOUS WASTE INSPECTION REPORT <br /> Facility Name G /- )I C' <br /> Address ( � �3 S , &Pme <br /> City �� / G� State CA Zip Code G' 3 -� �C> 7 <br /> EPA I.D.Number C <br /> Facility Contact c� S Phon <br /> Consent Given By <br /> Inspection Date(s)j,)- - Inspection Type (circle): Routine Complaint ollow-U <br /> REPRESENTATIVES PRESENT <br /> Name Title Organization <br /> aT3 ri _ <br /> This report may identify conditio is observed this day that are alleged to be violations of one or more sections of the <br /> California Health and Safety C de (HSC) or the California Code of Regulations, Title 22 (22 CCR) relating to the <br /> management of hazardous wast . The violations may be described in more detail on the attached note sheets. After <br /> completing the evaluation of th information obtained during the inspection, PHS-EHD may inform you of additional <br /> violations. <br /> If any violations are noted, the f cility 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 violations within the scheduled period provided may result in San Joaquin County Public Health <br /> Services-Environmental Health ivision (PHS-EHD) citing you for continuing/additional violations. Issuance of this <br /> Inspection Report does not precl de PHS-EHD from taking any administrative, civil or criminal action as a result of the <br /> violations noted. <br /> Registered Environmental Healthpecialist Received by Date <br /> 12/9/94 Page 1 of 3 <br /> A Division of San Joaquin County Health Care Services <br />