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S0 JOA U 1 Environmental Health Department <br /> u ;� i Y I <br /> Hazardous Materials Program Inspection Report <br /> Facility Name: Facility Address: Date: <br /> ARCO STATION#826951 130 S WILSON WAY, STOCKTON August 28, 2020 <br /> documenting the corrective actions that have been or will be taken for each violation, and any supporting <br /> paperwork, by September 27, 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, Corrective Action Worksheet <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: Inspector: Inspector Phone: <br /> Printed Name and Title: STACY RIVERA, Lead Senior REHS (209)468-3440 <br /> FA0003601 PR0520467 SCO01 08/28/2020 <br /> EHD 19-01 Rev.9/20/2019 Page 3 of 3 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 />