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Environmental Health Department <br />Hazardous Materials Program Inspection Report <br />Date: <br />August 13, 2018 <br /> Facility Address: <br /> 2905 W BENJAMIN HOLT DR, STOCKTON <br /> Facility Name: <br /> CHEVRON STATION #94275* <br />RemarksItem # <br />Overall Inspection Comments: <br />No violations noted at time of inspection. <br />Complete and submit a copy of the Return to Compliance Certification form to the EHD with a statement <br />documenting the corrective actions that have been or will be taken for each violation, and any supporting <br />paperwork, by 9/12/2018. <br />Please be aware as of January 1, 2013, all businesses are required to submit all hazardous materials <br />information online to the California Environmental Reporting System (CERS) at http://cers.calepa.ca.gov. Be <br />sure to include your hazardous material activity in the Businesses Activities section in CERS in addition to any <br />other relevant activities and required fields. <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: Inspector Phone: <br /> (209) 953-6211 JAMIE LIMA, Haz Mat Specialist II <br /> Inspector:August 13, 2018 Date: <br />Printed Name and Title: <br />Kenisha Jenkens, Manager <br />Page 2 of 2 <br />FA0003712 PR0519641 SC001 08/13/2018 <br />EHD 19-01 Rev. 10/31/2017 Hazardous Materials Program OIR <br />1868 E. Hazelton Avenue | Stockton, California 95205 | T 209 468-3420 | F 209 464-0138 | www.sjcehd.com