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San Joaquin County <br /> Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton,California 95205-6232 <br /> Telephone:(209)468-3420 Fax:(209)468-3433 Web:www.sigov,o[g/ehd <br /> Facility Name: Underground Storage Tank Program Inspection Report <br /> Facility Phone: Date: <br /> Facility Address; 016) JI-I 251') <br /> 1()3 4 2 _� -iZA t,' N �N o N iC i CERS ID: <br /> L I <br /> Inspection Contact: Phone: <br /> Inspection Type: <br /> 'T!,)N Pe'nift 2 361 US I �A(-,'I L I r Y <br /> A,,)PF�, T <br /> Consent For. Consent Given By: <br /> In Sam les I <br /> _L SSW= x Photos ', Sa Joy Kadiadoiian, EH.S Minagei <br /> Service Technician Onsite: Esp.Date: Designated Operator: Exp.Date: <br /> jol';,, ai.a - 01/26i2013 Stephanie Murphy 1:x'2; <br />