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Hazardous Materials Program Inspection Report <br />Date: <br />February 03, 2016 <br />Facility Address: <br />2449 W Kettleman Ln, Lodi <br />Facility Name: <br />Safeway 1648 <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 .sjgov .org /ehd <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 3/4/2016 <br />Please be aware as of January 1, 2013, all businesses are required to submit all hazardous materials information <br />online to the California Environmental Reporting System (CERS) at http://cers.calepa.ca.gov. Be sure to include <br />your hazardous material activity in the Businesses Activities section in CERS in addition to any other relevant <br />activities and required fields. <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:Inspector Phone: <br />(209 )953-6211 JAMIE DE LA ROSA, HM Specialist II <br /> Inspector :February 03, 2016 Date: <br />Printed Name and Title: <br />, <br />Page 2 of 2