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0 <br /> 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.$)aov.org/ehd <br /> Underground Storage Tank Program Inspection Report <br /> Facility Name: Facifi"ty Address: Date: <br /> LYiivU TRAVEL PLAZA so K TO t,,! 7, Ma 44 201 <br /> ALL ER Ell STA TIME ASSOCIATED W TH FAILING T COMPLY BYTHE ABOVE N TED DATES W ILL BE BIL ED AT H U REN H URLY RATE. <br /> THIS FAQLLITY IS SUBJE ECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE <br /> eived By(printed name and title): Date: <br /> Received By / � <br /> (signature): Bryan Cairns. Manager !q— <br /> (signature): <br /> Inspector(printed name and title): Inspector Phone: <br /> r� <br /> (signature): <br /> Page 4 of 4 <br />