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SAN J O A Q U I N Environmental Health Department <br /> CC)U ,IN I Y <br /> Hazardous Materials Program Inspection Report <br /> Facility Name: Facility Address: TDae: <br /> MANTECA GROCERY OUTLET 1391 E YOSEMITE AVE, MANTECA ptember 30, 2022 <br /> Compliance Certification form to the EHD with a statement documenting the corrective actions that have been or <br /> will be taken for each violation, and any supporting paperwork, by 10/30/2022. <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 /> ($156). 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: September 30, 2022 Inspector: Inspector Phone: <br /> Printed Name and Title: PAUL NSO, EH Specialist (209)616-3049 <br /> E mail report to: Deborah Tarr, Environmental Contact. <br /> FA0000909 PR0547847 SCO01 09/30/2022 <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 />