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DOUG BROWN <br /> PUBLIC HEALTH S Manager <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DIVA <br /> M.D. M.P.H. Health ( JIFFY LUBE#2322 <br /> La <br /> Karen Furst, I 500 E.Kettleman Lane <br /> 304 East Weber Avenue, Third Floor• Stocki Lodi,CA 95240 <br /> 209/468-3420 (209)339-0900 <br /> Please call and share your feelings about our service. <br /> UNIFIED PROGRAM HAZARDOUS WASTE INSPECTION REPORT <br /> Facility Name <br /> Address �� "fT�e ✓ftcr n L`'�- <br /> City Lo State CA Zip Code <br /> EPA I.D.Number . CALO("�n I ga `r <br /> Facility Contact M(-C-\ Phone t� 776k <br /> Consent Given By <br /> Inspection Date(s) `4— f'?, Inspection Type (circle): outin Complaint Follow-Up <br /> REPRESENTATIVES PRESENT <br /> Name Title rga ization <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 administr i ,civil or criminal action as a result of the violations noted. <br /> ironmental He Specialist Received by Date <br /> 12/9/98 Page 1 of <br /> A Division of San Joaquin County Health Care Services <br />