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San Joaquin County <br /> Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, California95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209)468-3433 Web:www.sig v.orcI/ehd <br /> Underground Storage Tank Program Inspection Report <br /> Date: <br /> Facility Address 22, 2015 <br /> Facility Name: <br /> lBURN x SSD( <br /> a��eHo sTaFF TimeAssociaTeoJECT TO REINSPECTION AT ANY TIME ATIEHDBS CURRENT HOURLY E. <br /> THIS FACILITY IS SUB Date: <br /> Received By Received By(printed name and title): <br /> (signature): iAL mdt(' Inspector Phone: <br /> ti <br /> Inspector(printed name and tle): .�� � 76 <br /> Inspector .LENAANZO> REHID <br /> (signature): <br /> Page 6 of 6 <br />