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San Joaquin County <br /> Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, California 95205-6232 <br /> Telephone:(209)468-3420 Fax:(209)468-3433 Web:www.sigov.oro/ehd <br /> Underground Storage Tank Program Inspection Report <br /> Facility Name: Facility Address: Date: <br /> RANCHO SAN MIGUEL MARKET' 612 S Cherokee Ln, Lodi October 17, 2017 <br /> Agreement, if applicable, can be stored at the facility or uploaded into CERS. <br /> Documents Received: Return to Compliance Certification Form <br /> Documents Reviewed: Employee training Logs, D.O. Monthly Reports, Financial Documents, Monitoring Plans, <br /> Secondary Containment Testing, and Monitoring Plans <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: <br /> Date: October 17, 2017 Inspector: Inspector Phone: <br /> Printed Name and Title: BETTY HO, EH Specialist (209)468-3455 <br /> Jesus Jurado, Compliance Manager <br /> FA0014852 PRO521866 SCO01 10/17/2017 <br /> EHD 23-01 Rev,09/22/16 Page 6 of 6 Underground Storage Tank Program OIR <br />