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San Joaquin County <br /> Environmental Health Department NOV 2 0 2015 <br /> 1868 East Hazelton Avenue, Stockton, California 95205-6232 <br /> Telephone:(209)4618-342.0 Fau.(209)468-3433 Web:MEN siaov.org/ehd ENVIRONMENTAL <br /> w..2rrerncc. ,'`N2"</�§..r <br /> u• <br /> aewa? <br /> Facility Name: Facility Address: Mile: <br /> Belkor A -Stockton 1120 W CHARTER WAY,,STOCKTON October 22 2015 <br /> ALL EKD STAFF TIME ASSOCUMD WrrH FA NO PL E-ABOVE N E DATES WILL B BILLED T CU HOURLY RATE <br /> 911,THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE <br /> Received By " Received By(printed"name and title): Date: <br /> (signature): Jim Eaves, Environmental Contact <br /> Inspector Inspector(printed name and title): Inspector Phone: <br /> (signatu STACY RIM& Senior REHS (209)468-3440 <br /> Page 8 of 8 <br />