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IddiL <br /> MF we <br /> San Joaquin County <br /> Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, California 95205-6232 <br /> Telephone: (209)468-3420 Fax:(209) 468-3433 Web:www.siaov.ora/ehd <br /> Hazardous Materials Program Inspection Report <br /> Facility Name: Facility Address: Date: <br /> JACK IN THE BOX#3408 4989 S HWY 99 , STOCKTON Aril 08, 2015 <br /> activities and required fields. <br /> ALL EHD STAFF TIME ASSOCIATED WITH FAILING TO COMPLY-B77RE ABOVE NOTED DATES WILL BE BILLED AT THE CURRENT HOU L . <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): St )eli. Manager q It iv b <br /> Inspector Inspector(printed name and title): Inspector Phone: <br /> (signature): C 'EZ, HM Specialist II (209) 953-6214 <br /> Page 3 of 3 <br />