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SANJ O A Q U I N Environmental Health Department <br /> t_ _� U 'JIY <br /> Underground Storage Tank Program Inspection Report <br /> Facility Name : Facility Address : Date : <br /> Delta arco 440 W DR MARTIN LUTHER KING JR BLVD , August 20 , 2019 <br /> Documents Provided: Return To Compliance Certification Form and list of free scheduled CUPA classes <br /> 3 Cha 2S e- C � Gin > <br /> C' � � e. C�e � 0 � � c <br /> e � <br /> U" <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 : Date: August 21 , 2019 Inspector: Inspector Phone: <br /> Printed Name and Title: PAUL NSO , EHS Trainee ( 209 ) 468-3432 <br /> Rajwinder Singh , Manager <br /> FA0002321 PR0231055 SCO01 08/20/2019 <br /> EHD 23-01 Rev. 09/28/2018 Page 6 of 6 Underground Storage Tank Program OIR <br /> 1868 E . Hazelton Avenue Stockton , California 95205 1 T 209 468 -3420 1 F 209 464 -0138 1 www . sjcehd. com <br />