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PUBLIC HEALTH SERVICES <br /> SAN JOAQUIN COUNTY a Z� <br /> ENVIRONMENTAL HEALTH DMSION <br /> Karen Furst, M.D., M.P.H., Health Officer • ��.. P <br /> �i F o"ser <br /> 304 East Weber Avenue,Third Floor • Stockton, CA 95202 <br /> 209/468-3420 <br /> UNIFIED PROGRAM HAZARDOUS WASTE INSPECTION REPORT <br /> Facility Namel�U C4 1 Q I a <br /> Address <br /> ,� d�,Sk_ l/ /`ter (lr.— .00 <br /> f-� �� <br /> City /�a,, CXA- State CA Zip Code <br /> EPA I.D.Number 023 � / <br /> Facility Contact .S� Phone �K— �� ' �6 <br /> Consent Given By S� <br /> Inspection Date(s) Inspection Type (circle): outi Complaint Follow-Up <br /> REPRESENTATIVES PRESENT <br /> Name Title Organization <br /> i�a C/Itw Jf;'W lec� � co <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. 3 v <br /> If any violations are noted,the facility is required to submit a signed Certification of Return to Compliance withi� <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 /> 41 � a' ��- ' - 6 - Z. <br /> Date <br /> vironmental Health Specialist <br /> receivedd by <br /> Page 1 of <br /> 12/9/98 <br /> A Division of San Joaquin County Health Carc Scrvices <br />