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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. vwwv.siclay.orglehd <br />Underground Storage Tank Program Inspection Report <br />Facility Name: <br />[Facility Address: <br />Date: <br />AFTER THE COMPLIANCE DATE, EHD WILL BILL FOR ALL TIME AND ACTIVITIES ASSOCIATED WITH BRINGING <br />THIS FACILITY BACK INTO COMPLIANCE <br />THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE <br />Received By <br />11"". <br />Received By (printed name and title): <br />Date: <br />(signature): <br />rL I <br />D r <br />r u 6 <br />Inspector <br />Inspector printed name nd title). <br />In for Phone: <br />(signature): <br />'S" <br />2079) 953-1699 <br />%.-/4 <br />y raga r v� r <br />