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Environmental Health Department <br /> ' COUNTY <br /> Hazardous Materials Program Inspection Report <br /> VacAlft Nam": Fadttty Address: Deist GAS FOOD MART 1330 E YOSEMITE AVE, MANTECA May 24, 2023 <br /> SUMMARY OF VIOLATIONS <br /> (GLASS 1, CLASS it, or IMNoe , Notice to ComPIP <br /> Rem # Remarks <br /> Overall Inspection Comments: <br /> An inspection checklist was provided to the facility operator at the time of inspection . The inspector will provide <br /> complete report to the facility operator within the next few weeks. <br /> Complete and submit a copy of the Retum 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 /> 67'7 <br /> r � <br /> 47D 1�e <br /> vtooe i� hay <br /> ISar h e4 me, Are Pat SS � rid I1 <br /> I Z> � � ti <br /> h f p t/�� <br /> AFTER THE COMPLIANCE DATE, END 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 END'S CURRENT HOURLY RATE, <br /> Received by; Date: May 24, 2023 Inspector. inspector Pfione0 <br /> Printed Name and Title* STACY RIVERA, Lead Senior RENS (209) 616-3043 <br /> Emailed to Ghulam All, Owner <br /> FAM12355 PR0520871 SC001 05)2412029 <br /> L:HD 19-01 Rsv, 12/0 M21 Page 2 of 2 Haie+ dm Matelots Program OiR <br /> 1868 E. Hazelton Avenue I Stockton , California 952051 T 209 468-3420 1 F 209 464-0136 1 www.sjgov.orglEHD <br />