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San Joaquin County ` w <br /> Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, California 95205-6232 <br /> Telephone: (209)468-3420 Fan:(209)468-3433 Web:www.sigov.org/ehd <br /> Hazardous Materials Program Inspection Report <br /> Facility Name: Facility Address: Date: <br /> ORCHARD SUPPLY HARGvvHRt a iau 1 1015 W Hammer Ln, STOCKfUN I ember 22, 2014 <br /> your hazardous material activity in the Businesses Activities section in CERS in addition to an, tier relevant <br /> activities and required fields. <br /> ALL EHD STAFF I IME ASSOcIA i Eu Wi i H FAUNu 10 COMPLY BY THE ABaVE NOT Eu DA i ES WILL BE BILLED At i ti�CURK�N i HOUKLY RA;t. <br /> THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE. <br /> eceived B�y,�(s�i �ature): Title: Date: <br /> l�u S 1�Dr�c {�av��z°� <br /> R§p Ive/d1 By printed e): Inspector:tr Y$tet Inspector Phone: <br /> HAZA SAEED, HM Specialist 1 (209) 953-6212 <br /> Page 2 of 2 <br />