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D.�'Q u' I•, C <br />SAN JOA©UIN COUNTY <br />y`. <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />•'• 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />ca.,_� .,I._.��• 209 Telephone: <br />( ) 468-3420 Fax: (209) 468-3433 Web: www.s' <br />ay.or /ehd <br />UNDERGROUND STORAGE TANK (UST) PROGRAM SERVICE REQUEST <br />INSPECTION REPORT <br />Facility lua r..e. <br />ID This UST facility is APPROVED to operate 11 This UST facility is NOT APPROVED to operate <br />� _ 1 <br />THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY IME AT EHD'S CURRENT HO <br />EHD insp URLY RATE. <br />car Received By: <br />Title: <br />EHD 23-04 <br />Rev 4/30/12 UST SERVICE REQUEST fNSPECTION REPORT <br />