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SAN J O A Q U I N Environmental Health Department <br /> CUUNIY <br /> Underground Storage Tank Program Inspection Report <br /> Facility Name: Facility Address: FDateER Vine Stockton 4733 S HWY 99 , STOCKTON une 28 , 2019 <br /> Documents Provided : Return to Compliance Certification Form , and a list of schedule CUPA free classes <br /> AFTER THE COMPLIANCE DATE , EHD WILL BILL FOR ALL TIME AND ACTIVITIES ASSOCIATED WITH BRINGING THIS <br /> FACILITY BACK INTO COMPLIANCE <br /> THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT EHD ' S CURRENT HOURLY RATE <br /> Received by: Date : Inspector: Inspector Phone: <br /> Printed Name and Title: PAUL NSO , EHS Trainee ( 209 ) 468 -3432 <br /> FA0003924 PR0232510 SC001 06/28/2019 <br /> EHD 23-01 Rev. 09/28/2018 Page 6 of 6 Underground Storage Tank Program OIR <br /> 1868 E . Hazelton Avenue I Stockton , California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www. sjcehd. com <br />