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Environmental Health Department <br />CP22 - HMBP Inspection Report <br />Date: <br />July 17, 2024 <br /> Facility Address: <br /> 13521 E MARIPOSA RD, STOCKTON <br /> Facility Name: <br /> COLLEGEVILLE MARKET & CAFE <br />- About 400 pounds of CO2 <br />-About 6,000 gallons of Diesel <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 inspection report. <br />Philip Mathew, Manager <br />July 17, 2024 <br />(209) 598-7001Printed Name and Title: <br /> Date: Inspector: <br /> Michael Suszycki, Lead Senior REHS <br /> Inspector Phone: Received by: <br />AFTER THE COMPLIANCE DATE, EHD WILL BILL FOR ALL TIME AND ACTIVITIES ASSOCIATED WITH BRINGING THIS <br />FACILITY BACK INTO COMPLIANCE. <br />THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE. <br />FA0001457 PR0520294 SC001 07/17/2024 <br />EHD Rev. 12/06/2021 CP22 - HMBP OIRPage 5 of 5 <br />1868 E. Hazelton Avenue | Stockton, California 95205 | T 209 468-3420 | F 209 464-0138 | www.sjgov.org/EHD