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SANJ O A Q U I ` ,I�,II Environmental Health Department <br /> COUNTY <br /> Hazardous Materials Program Inspection Report <br /> Facility Name: Facility Address: Date: <br /> MID STATE SURGE 1436 MAIN ST, ESCALON June 05, 2019 <br /> appointment, please call (209)468-3420. <br /> AFTER THE COMPLIANCE DATE, EHD WILL BILL FOR ALL TIME AND ACTIVITIES ASSOCIATED WITH BRINGING THIS <br /> FACILITY BACK INTO COMPLIANCE. <br /> THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE. <br /> Received by: Date: June 05, 2019 Inspector: Inspector Phone: <br /> Printed Name and Title: NICHOLAS LOEHRER, Haz Mat Specialist 1 (209)468-0623 <br /> Yvonna Ray, CFO <br /> FA0009163 PR0519431 SCO02 06/05/2019 <br /> EHD 19-01 Rev.09/27/2018 Page 3 of 3 Hazardous Materials Program OIR <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />