Laserfiche WebLink
A <br />PUBLIC HEALTH <br />SAN JOAQUIN COUN'T'Y <br />ENVIRONMENTAL HEALTH DIVISION <br />Karen Furst, M.D., M.P.H., Health Utti,cer <br />304 East Weber Avenue, Third Floor • Stockton, CA 95202 <br />209/468-3420 <br />M <br />Facility Name <br />Address <br />State CA Zip Code <br />City <br />EPA I.D.Number / <br />Facility Contact <br />Phone <br />oP4u'��`• c <br />r.. <br />Consent Given By <br />Inspection Date(s) Inspection Type (circle): outin Complaint Follow -Up <br />REPRESENTATIVES PRESENT <br />Name Titl �/ �rg'tgatiqn <br />Is <br />ons of the <br />ia <br />This report may identify conditions observed this day that are <br />Relegdons, Title to be lat22 (22ions fCCR) relating toone or more t'the manageme�tnof <br />Health and Safety Code (HSC) or the California Code of Regulations, <br />hazardous waste. The violations may be described in more detail on the Peof additional v slat ons completing the <br />evaluation of the information obtained during the inspection, HS EHD may inform you <br />If an violations are noted, the facility is required to submit a signed Certification of Return to Compliance within 60 <br />Y <br />days, unless otherwise specified (A certification form es pro <br />Failure to correct these violations within the scheduled period provided may result in San Joaquin County Public Health <br />spection <br />Services -Environmental Health Division (PHS-EHD) citing you for ontcivil or inuinc im nal action a violations. <br />o result of the violations note. <br />Report does not preclude PHS-EHD from taking any admirnstrati Receive by, Tate <br />Environmental Health Spec alist <br />Page 1 of <br />12/9/98 <br />A Division of San Joaquin County Health Care Services <br />