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PUBLIC HEALTH SERVICES <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DMSION <br /> Karen Furst, M.D., M.P.H., Health Officer , �P <br /> 304 East Weber Avenue, Third Floor• Stockton, CA 95202 <br /> 209/468-3420 <br /> UNIFIED PROGRAM HAZARDOUS WASTE INSPECTION REPORT <br /> Facility Name (j,, <br /> Address y t' C k"! �(u;k- <br /> 1_7 i <br /> CityiZ,! r�� L-c State CA Zip Code O <br /> EPA I.D.Number <br /> Facility Contact Z Phone <br /> Consent Given ByJ 6.f� Lek <br /> Inspection Date(s) Z hb <br /> Q Inspection Type (circle): Routine Complaint Follow-Up <br /> REPRESENTATIVES PRESENT <br /> fie Ti le. Orga 'zatiio,n <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 /> Servi es-Environmental Health Division (PHS-EHD) citing you for continuing/additional violations. Issuance of this Inspection <br /> Re does not eclude PHS-EHD from taking any administrative,civil or criminal action as a result of the violations noted. <br /> EKWU�tL.69.41h Elpe6alist Received Date <br /> 12/9/98 Page 1 of <br /> A Division of San Joaquin County Health Care Services <br />