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San Joaquin County <br /> Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, Califomiag520M232 <br /> Telephone: (209)468-3420 Fax: (209)468-3433 Web:www.si4oy.orD/ehd <br /> Hazardous Materials Program Inspection Report <br /> Facility Name: Facility Address: Date: <br /> CHEVRON STATION#2013+ 1960 W ELEVENTH ST,TRACY July 08, 2015 <br /> hazardous material activity In Cne ousinesses Activities section in CERS in addition to any other relevant activities <br /> and required fields. <br /> ALL EHD STAFF TIME ASSOCIATED WITH FAILING TO COMPLY BY THE ABOVE NOTED DATES WILL BE BILLED AT THE CURRENT HOURLY RATE. <br /> T SUBJECT TO REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE. <br /> Receiv y Received By(printed name and title): Date: <br /> (signal e). Helen McCarty, Manager �( <br /> Inspector Inspector(printed name and title): Insp6dor hone: <br /> (signature) PETER LOMBARDI, HM Specialist 1 (209) 953-6213 <br /> Page 2 of 2 <br />