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SAN '�d DAQ II II Environmental Health Department <br /> COUNT <br /> Hazardous Materials Program Inspection Report <br /> Facility Name: Facility Address: Date: <br /> JACOBS MALCOLM &BURTT 645 N STOCKTON ST, LODI October 24, 2019 <br /> during the inspection. Complete and submit a copy of the Return to Compliance Certification form to the EHD <br /> with a statement documenting the corrective actions that have been or will be taken for each violation, and any <br /> supporting paperwork, by 11/23/2019. <br /> Starting September 1, 2018, all in-office CERS help will be provided at EHD hourly rate ($152). To schedule an <br /> appointment, please call (209)468-3420. <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: Date: October 24, 2019 Inspector: Inspector Phone: <br /> Printed Name and Title: HAZA SAEED, Lead Senior REHS (209)953-6212 <br /> Paul Bogetti, Relations Grower <br /> FA0010451 PR0520325 SCO01 10/24/2019 <br /> EHD 19-01 Rev.9/20/2019 Page 4 of 4 Hazardous Materials 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 />