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SAN JOAQ (JIN <br /> Environmental Health Department <br /> Underground Storage Tank Program Inspection Report <br /> Facility Name: Facility Address: Data: <br /> ER Vine Stockton 4733 S HWY 99 , STOCKTON June 24, 2020 <br /> To minimize person to person contact EHD is choosing to write the name of person receiving the report instead <br /> of having them sign. Starting September 1 ,2018 , all in-office CERS help will be provided at EHD hourly rate <br /> ($ 152) . To schedule an appointment , please call (209) 468-3420. <br /> Documents provided during inspection: Return to compliance certification form and corrective action statement <br /> form <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: June 24, 2020 Inspector: Inspector Phone: <br /> Printed Name and Title: PAUL NSO, EHS Trainee (209) 468-3432 <br /> Mike Flores, Technician <br /> FA0003924 PR0232510 SC001 06/24/1020 <br /> EHD 23-01 Rev. 912012019 Page 6 of 6 Underground Storage Tank Program DIR <br /> 1868 E . Hazelton Avenue ( Stockton , California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />