Laserfiche WebLink
ENVIRONMENTAL HEALTH <br /> .;AN JOAQUIN COUNTY <br /> Waste Tire Survey and Inspection Report 304 E WEBER AVE 3"' FL <br /> STOCKTON CA 95202-2708 <br /> :e of Califomia <br /> WB-54(10/03) (209) 468-342 <br /> Page ofy <br /> SRT D -Notes Inspection Da,tg: , <br /> ile Number: <br /> usiness/Facility ame: , <br /> GPS Coordinates: <br /> co <br /> n <br /> t L� <br /> �J <br /> i <br /> i <br /> I - <br /> I <br /> FFolloEw-up: EjRefer to CIWMB Date: <br /> ❑ Letter of Violation V-solation re-inspection ❑ <br /> Date Mailed: Date:___ <br /> ❑ Other Referrals <br /> ❑ <br /> If this box checked NFA required. No tires, remove. El Out of business, remove. <br /> ❑ <br /> Phone: <br /> Inspector's Signature <br /> White Copy: CIWMB Yellow Copy: Operator Blue Copy: LEA <br />