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SAN J O A Q U I N Environmental Health Department <br /> CC)u ,I 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 14, 2022 <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 14, 2022 Inspector: Inspector Phone: <br /> Printed Name and Title: FREDERICK ERNEST, REHS (209)616-3026 <br /> Emailed report to: Jamie Lima, Environmental Specialist <br /> FA0003833 PR0232523 SCO01 10/14/2022 <br /> EHD 23-01 Rev.12/06/2021 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 />