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San Joaquin County <br /> Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, California95205-6232 <br /> Telephone: (209)468-3420 Fax:(209)468-3433 Web.www.sigov.oro/ehd <br /> S>Enwia uant[W Hazar, ous Waste G n ataransp cti©n:R port <br /> Facility Name: Facility Address: pate: <br /> L's"i�;ia:M ' I_ ,ItlS APIC} Sai4lu liJf: )"�2L ' 5,; �F:f;I rI rTO ST. LORI Dere ibez 29. 201 <br /> JANyy2 6 201;; <br /> ;~AFTER THE COMPLIANCE DATE. EHD WILL BILL FOR ALL TIME AND ACTIVITIES ASSO I EEDI IN"I frH BMINIG!NIG <br /> - t':S FACILI W BACK INTO COMPLIANCE <br /> THIS FAC'L F'Y IS SUBECT TO REINSPECTION AT ANY TIME AT E!-li3'S CURREI`T HOURL"RATE <br /> Received By Received By(printed name and title): Date: <br /> (signature): Nick i✓r1iCe? +:)i.;it. Geri€ial f`s,enager <br /> Inspector Inspector(printed narne and title): Inspector Phone: <br /> (signature): /a.F Z VELCISO,. Senior RENS (2:19) �;+a�-1453 <br /> Page 5of6 <br />