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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.slqov.org/ <br /> Small Quantity Hazardous Waste Generator Inspection Report <br /> Date: <br /> Facility Name: Facility Address: <br /> "ANTECA BULLETIN <br /> BUTTON AVE, MANTECA Member 21, 201 <br /> ALL EHD STAFF TIME ASSOCIATED WITH FAILING TO COMPLY BY THE ABOVN <br /> E I.C. DATES WILL BE RATE. <br /> BILLED AT THE CURRENT HOURLY <br /> THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY <br /> '� RATE <br /> Received By(printed name and title): �/ <br /> Date- <br /> Received By - WaSehouse rnanaget l <br /> (signature): " o1i11 �iultli�i�iai, <br /> Inspector Phone: <br /> Inspector(printed name and title): �09) y53 -� <br /> Inspector - ELENA "n Senior REHS <br /> (signature): <br /> Page 4 of 4 <br />