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1 !' <br /> 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 /> Small Quantity Hazardous Waste Generator Inspection Report <br /> Facility Name: Facility Address: Date: <br /> CENTURY AUTO COLLISION 3128 E FREMONT ST. STOCKTON Au ust 28 2015 <br /> ALL EHD STAFF TIME ASSOCIATED ITH FAILING TO COMPLY BY THE ABOVE NOTED DATES WILL BE BILLED AT THE CURRENT HOURLY RATE <br /> THIS CILITY IS SU T TO REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE <br /> Received By Received By(printed name and title): Date: <br /> (signature): Norma Cortes, Owner <br /> Inspector / Inspector(printed name and title): Inspector Phone: <br /> (signature): lb CINDY VO. EH Specialist (209)468-8257 <br /> Page 6 of 6 <br />