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we <br /> San Joaquin County <br /> Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, California95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209) 468-3433 Web:www.sigov.org/ehd <br /> Hazardous Materials Program Inspection Report <br /> Facility!Jana: Facility Address: Date: <br /> McDONALDS#23653 1 1 mss.. SEMITE AVE. MANTECA Au ust 24 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 EHD STAFF TIME ASSOCIATED WITH FAILING TO COMPLY BY THE ABOVE NOTED DATES ILL BE BILLED AT THE CURREN F 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): 'V <br /> e: <br /> (signature): /Z'� )� <br /> Inspector Inspector(printed name and title): Inspector Phone: <br /> (signature): - <br /> Page 2 of 2 <br />