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San Joaquin County <br /> Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, Califomia95205-6232 <br /> Telephone: (209)468-3420 Fax: (209)468-3433 Web:www.sigov.org/ehd <br /> Hazardous Materials Program Inspection Report <br /> Facility Name: Facility Address: Date: <br /> 2320 N TRACY BLVD TRACY I May 21, 2015 <br /> �Iifornia —ivironmental Reporting System(CERS) at http://cers.calepa.ca.gov. Be sure to include <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 EHD STAFF TIME ASSOCIATEDAI ING TO COMPLY BY THE ABOVE NOTED DATES WILL BE BILLED AT THE CURREN r HOURLY RATE. <br /> THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE. <br /> Received By `` Received By(printed name and title): Date: l <br /> (signature): k UIYI� VI Devi, Manager 5]'l( I)-5 <br /> Inspec Inspector(printed name and title): Inspector Phone: <br /> (signator P 1_OMBARDI. HM Specialist I fd6y-Pr3 6;Z& <br /> Page 2 of 2 <br />