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OA LU IN C SAN JOAQUIN COUNTY <br />). �•.so <br />?� ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 468-3433 Web: www slaov.ora/ehd <br />~�uF <br />UNDERGROUND STORAGE TANK (UST) PROGRAM SERVICE REQUEST INSPECTION REPOWINR <br />Inspection Date: <br />N to �l - 11 <br />, <br />Service Request <br />mess: h �tit <br />�� <br />IV 1 �-�'� �x ' _ ��Manufacturer Training: <br />Service Technician's Name: <br />i l? <br />ICC <br />❑ This UST facility is APPROVED to operate `�7 This UST facility is NOT ANNrsuvtu to opera�e <br />EHD 23-04 <br />Rev 4/30/12 <br />a <br />i <br />F <br />THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT EHD'S CURRtENT HOURLY��� .0 <br />Received By: <br />ector:v t a <br />UST SERVICE REQUEST INSPECTION REPORT <br />