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San Joaquin County <br /> Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, Califomia95205-6232 <br /> Telephone: (209)458-3420 Fax: (209)468-3433 Web:www.sicov.oralehd <br /> Hazardous Materials Program Inspection Report <br /> Facility Name: Facility Address: Date: <br /> STOCKTON INDUSTRIAL SUPPLY 957 E CHURCH ST, STOCKTON October 07, 2015 <br /> activities and required fields. <br /> ALL EHD STAFF TIMEASSOCIATED WITH FAILING TO COMPLY BY THE ABOVE NOTED DATES WILL BE BILLED AT THE CURRENT HOURLY RATE. <br /> 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): r John McCombs, Shop Foreman 10 —7'-19- <br /> Inspector Inspector(printed name and title): Inspector Phone: <br /> (signature): r ROBERT LOPEZ, HM Specialist II (209) 953-6214 <br /> Page 4 of 4 <br />