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S A J OAQ U I Environmental Health Department <br /> �.0U N TY— <br /> Underground Storage Tank Program Inspection Report <br /> Facility Name: Facility Address: Date: <br /> GREWALS GAS & LIQUOR* 4100 E FREMONT ST, STOCKTON April 07, 2021 <br /> Complete and submit a copy of the Return to Compliance Certification form to the EHD with a statement <br /> documenting the corrective actions that have been or will be taken for each violation, and any supporting <br /> paperwork, by 05/07/2021. <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 statement form <br /> and a list of approve free CUPA training classes <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: April 07, 2021 Inspector: Inspector Phone: <br /> Printed Name and Title: PAUL NSO, EH Specialist (209) 616-3049 <br /> Edila Suarez, Manager <br /> FA0002123 PR0231574 SCO01 04/07/2021 <br /> EHD 23-01 Rev.9/16/2020 Page 5 of 5 Underground Storage Tank Program OIR <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjgov.org/EHD <br />