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Environmental Health Department <br /> ,-COUNTY- , <br /> ' <br /> Facility Name: Facility Address: Date: <br /> A&A GAS & FOOD MART 16 E HARDING WAY STOCKTON February 03 2025 <br /> finished on 2/10/2025 and replaces the initial checklist. <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, by March 12, 2025. <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: February 03, 2025 Inspector: Inspector Phone: <br /> Printed Name and Title: Lynsey Sammons, REHS (209) 616-3067 <br /> Wali Hussaini, Manager <br /> FA0003610 PR0231136 SC001 02/03/2026 <br /> EHD Rev. 12/06/2021 Page 8 of 8 CP22-UST FULL OIR <br /> 1868 E. Hazelton Avenue ( Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjgov.org/EHD <br />