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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.org/ehd <br /> Underground Storage Tank Program Inspection Report <br /> Facility Name: Facility Address: Date: <br /> C']PCI F PRESS MA <br /> ALL EHD STAFF TIME ASSOCIATED WITH FAILING TO COMPLY BY THE ABOVE NOTED DATES WILL BE BILLED AT THE CURRENT HOURLY RATE. <br /> THIS AGILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT EHD-S CURRENT HOURLY RATE <br /> Received By / Received By(printed name and title): Date: ] '7I <br /> (signature): �.''j11 I <br /> Inspector Inspector(printed name and title): Inspector Phone: <br /> (signature): :LENA MANZO, RENS <br /> Page 4 of 4 <br />