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PUBLIC FEALTH S �OP4u'N c <br /> 0 <br /> SAN JOAQUIN COUNTY Q <br /> ENVIRONMENTAL HEALTH DIVISION <br /> Ernest 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 to <br /> Address <br /> City)G �(" � � State CA Zip Code <br /> C C) ci <br /> EPA I.D.Number ('-l <br /> 17 l J <br /> Facility Contact Bd Phone � 'cfJ 1'7- <br /> Consent Given By <br /> Inspection Date(s) `t - // Inspection Type (circle): Routine Complaint Follow-Up <br /> REPRESENTATIVES PRESENT <br /> Name Title Or anization <br /> Ge /n C d ; <br /> 51 ,S(-a, yr R ftl PH -S <br /> R 'S e ,a 1 Q H S P L S's I� <br /> I } S S C) TSC_ <br /> This report may identify conditions observed this day that are alleged to be violations of one or more sections of the <br /> California Health and Safety Code (HSC) or the California Code of Regulations, Title 22 (22 CCR) relating to the <br /> management of hazardous was e. 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 acility is required to submit a signed Certification of Return to Compliance within 60 <br /> days, unless otherwise specifi d (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 ivision (PHS-EHD) citing you for continuing/additional violations. Issuance of this <br /> Inspection Report does not pre lude PHS-EHD from taking any administrative, civil or criminal action as a result of the <br /> violations noted. <br /> 04 `I 4s <br /> Registered Environmental Health) Specialist Received by Date <br /> 12/9/94 Page 1 of S_ <br /> A 1)iNision of San Joaquin Counth Health Cure Service. <br />