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S A N J O A Q U I N Environmental Health Department <br /> C:C3U N I Y <br /> Hazardous Materials Program Inspection Report <br /> Facility Name: Facility Address: Date: <br /> 7-ELEVEN INC#20632 4627 DA VINCI DR, STOCKTON December 15, 2021 <br /> or will be taken for each violation, and any supporting paperwork, by January 15, 2022. <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: Return to Compliance certification, flyer for free CUPA classes, site map guidance <br /> Note: Only reportable quantities of hazardous materials need to be reported in CERS. <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: December 15, 2021 Inspector: Inspector Phone: <br /> Printed Name and Title: LYDIA BAKER, REHS (209)616-3046 <br /> Emailed to Ethan Valburg, Reg. Gas. Env. Comp. Specialist <br /> FA0002541 PR0519809 SCO01 12/15/2021 <br /> EHD 19-01 Rev.12/06/2021 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.sjgov.org/EHD <br />