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SAN J O A Q U I N Environmental Health Department <br /> CC)U ,IN I Y <br /> Underground Storage Tank Program Inspection Report <br /> Facility Name: Facility Address: Date: <br /> Super Store Industries-Grocery Division 16888 McKinley Ave, Lathrop October 27, 2021 <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: <br /> - List of free CUPA classes <br /> -2020 Designated UST Operator Identification Form <br /> Inspection report emailed to: <br /> Scott Sommerfled, Director or Facilities and Environmental Compliance, ssommerfeld@ssica.com <br /> Jamie Lima, Environmental Specialist,jlima@ssica.com <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 27, 2021 Inspector: Inspector Phone: <br /> Printed Name and Title: CAROL PRESTO, EH Specialist (209)616-3061 <br /> Emailed to Scott Sommerfeld, and Jamie Lima <br /> FA0003833 PR0232523 SCO01 10/27/2021 <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 />