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PUBLIC HEALTH SERVICES <br /> SAN JOAQUIN COUNTY co <br /> ENVIRONMENTAL HEALTH DMSION " ', -' <br /> Karen Furst, M.D., M.P.H., Health Officer <br /> 304 East'%Vcber Avenue, Third Floor • Stockton, CA 95202 'tiFORr` <br /> 209/468-3420 <br /> UNIFIED PROGRAM HAZARDOUS WASTE INSPECTION REPORT <br /> Facility Name <br /> Address u4- mown <br /> City, State CA Zip Code 96 3(0(0 <br /> EPA I.D.Number <br /> Facility Contact RO& U0'Lkzr. , Phone a0 e <br /> Consent Given By RLC.X U01,41L ��--� <br /> Inspection Date(s) a000 Inspection Type (circle): QR outine Complaint Follow-Up <br /> REPRESENTATIVES PRESENT <br /> N re Title OrQ anization <br /> A LSe v-v a - <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, PNS-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, ;vior criminal Lsesult of the violations noted. <br /> f <br /> 31 <br /> Environmental Healt S eciali eceiv d by Date <br /> 12/9/98 Page 1 of <br /> A Division oFSan Joaquin Counry Health Care Services <br />