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San Joaquin County Is <br /> Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, California 95205-6232 <br /> Telephone: (209) 468-3420 Fax:(209) 468-3433 Web:www.sigoy.org/ehd <br /> Hazardous Materials Program Inspection Report <br /> Facility Name: Facility Address: Date: <br /> Chi otle Mexican Grill 1 1442 Hulsey Way, Manteca June 16, 2015 <br /> your hazardous material activity in the Businesses Activities section in CERS in addition to any other relevant <br /> activities and required fields. <br /> ALL E D STAFF TIME ASSOCIATED WITH FAILING TO COMPLY BY THE BO OTED DATES WILESEB-IL-LIED AT THE CURRENT HOURLY RATE. <br /> S F CILITYA SUBJECT TO REINSPECTION AT ANYTIME AT END'S CURRENT HOURLY RATE. <br /> Received By I Received By(printed name and title): DiVeir <br /> (signature): A Aryn Howell, Manager 2uo— <br /> Inspector Inspector(printed name and title): Inspector Phone: <br /> (signal re): PETER LOMBARDI, HM Specialist 1 (209) 953-6213 <br /> Page 2 of 2 <br />