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PUBLIC HEALTH SERVICES <br />°A4 °o <br />SAN JOAQUIN COUNTY g z <br />ENVIRONMENTAL HEALTH DIVISION ` <br />s: :e <br />Karen Furst, M.D., M.P.H., Health Officer <br />304 East Weber Avenue, Third Floor - Stockton, CA 95202 <br />209/468-3420 <br />Facility Name <br />Address '�, M _�� <br />City State CA Zip Code S <br />EPA I.D.Number <br />Facility Contact l Aj 11 i 1, Phone S f <br />Consent Given By -64 a 'n <br />Inspection Date(s) - ( b Inspection Type (circle): Routine Complaint Follow -Up <br />REPRESENTATIVES PRESENT <br />Name Title Organization <br />c, Y .. L..._- µ S - � k <br />'tv" rs <br />ist a � <br />R S. <br />— Ig f_cc�- - <br />(l tr. w Y _ M-�ww rn� ccAe aF ei,2 --% — <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 />f off- {o <br />Environmental Health Specialist Received by Dat <br />12/9/98 Page 1 of <br />A Division of San Joaquin County Health Care Services <br />