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San Joaquin County <br /> Environmental Health Departmeo <br /> 1868 East Hazelton Avenue, Stockton, California 95205-6232 <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 /> GREWALS GAS & LIQUOR* I E STOCKTON I May 01 2015 <br /> ALL EHD S F ME ASSOCIATED WITH FAILIN O COMPLY BY THE ABOVE NOTED DATES WILL BE BILLED AT THE CURRENT HOURLY RATE <br /> T ,FACILITY I UBJ CT TVREINSPECTION AT ANY TIME AT EHUS CURRENT HOURLY RATE <br /> Received By �,� Received By(printed name and title): Date: <br /> (signature)• Rick Grewal, Rick Grewal <br /> Inspector Inspector(printed name and title): Inspector Phone: <br /> (signature): CINDY VO, EH Specialist (209)468-8257 <br /> Page 4 of 4 <br /> I <br />