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'�V' San Joaquin County 1�11" <br /> Environmental Health Department N D <br /> 1868 East Hazelton Avenue, Stockton, California 95205-6232 <br /> Telephone: (209)468-3420 Fax: (209)468-3433 Web:www.siclov.orq/ehd <br /> . ... .... ... <br /> Underground Storage Tank Program Inspection Report <br /> Facility Name: Facility Address: <br /> Safeway Fuel Center#1769 2808 COUNTRY CLUB BLVD, Stockton Date: <br /> rewired the sensor at the time of inspection. No permit is required for this repair. January 20, 2015 <br /> Provided: Return to Compliance Certification form <br /> THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE <br /> Received By(signature): Title: Date: <br /> / <br /> /� aw liur <br /> Received By(printed name): Inspector: Inspector Phone: <br /> STACY RIVERA, Senior REH 9)468-3440 <br /> Page 5 of 5 <br />