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S0 JOA U 1 Environmental Health Department <br /> u ;� i I <br /> Hazardous Materials Program Inspection Report <br /> Facility Name: Facility Address: Date: <br /> DELTA FARM PACKING 111 N ZUCKERMAN RD, STOCKTON August 05, 2021 <br /> SUMMARY OF VIOLATIONS <br /> (CLASS I,CLASS II,or MINOR-Notice to Comply) <br /> Item# Remarks <br /> Overall Inspection Comments: <br /> Oniste to conduct a hazardous materials business plan (HMBP) inspection. An inspection checklist was provided <br /> to the facility operator at the time of inspection. The inspector will provide a complete report to the facility <br /> operator within the next few weeks. <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, within 30 days of receiving the complete inspection report. <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 /> 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: August 05, 2021 Inspector: Inspector Phone: <br /> Printed Name and Title: HAZA SAEED, Lead Senior REHS (209)953-6212 <br /> Emailed to Gabriel Gomez, Quality and Food Safety Manage <br /> FA0020873 PR0536314 SCO01 08/05/2021 <br /> EHD 19-01 Rev.9/16/2020 Page 2 of 2 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.sjgov.org/EHD <br />