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San Joaquin County <br /> Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, California 95205-6232 <br /> Telephone: (209)468-3420 Fax: (209) 468-3433 Web:www.sigov.org/ehd <br /> Aboveground Petroleum Storage Act Qualified Facility Inspection Report <br /> Facility Name: Facility Address: Date: <br /> BULLFROG LANDING MARINA 1 17251 BACON ISLAND RD STOCKTON September 09 2015 <br /> January 1, 2014, all APSA data must be entered and or updated in CERS. <br /> Provided: Return to Compliance Certification form <br /> ALL EHD STAFF TIME ASSOCIATED WITH FAILING TO COMPLY BY THE ABOVE NOTED DATES WILL BE BILLED AT THE CURRENT HOURLY RATE <br /> ILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE <br /> Received y Received By(printed name and title): Date: <br /> (signatu e): Carl Wenske, Manager =� <br /> Inspector Inspector(printed name and title): Inspector Phone: <br /> (signs STACY RIVERA, Senior REHS (209)468-3440 <br /> Page 5 of 5 <br />