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SAN J OAQ U N Environmental Health Department <br /> Underground Storage Tank Program Inspection Report <br /> Facility Name: Facility Address: Date: <br /> Mossdale Chevron 1444 W MOSSDALE RD, LATHROP TJune 25, 2025 <br /> Overall Inspection Comments <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 paperwork, <br /> by 7/25/25. <br /> To minimize person to person contact EHD is choosing to write the name of person receiving the report instead of <br /> having them sign. <br /> Starting July 1, 2024, all in-office CERS help will be provided at EHD hourly rate ($172). To schedule an <br /> appointment, please call (209) 468-3420. <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 /> Received by: Date: June 25, 2025 Inspector: Inspector Phone: <br /> Printed Name and Title: Lynsey Sammons, REHS (209)616-3067 <br /> Pal Dhaliwal, Owner <br /> EHD-CUPA Inspection Report IS02 Page 7 of 7 FA0000212 PR0231692 4519949 6/25/2025 <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 />