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Environmental Health Department <br />CP22 - HMBP Inspection Report <br />Date: <br />December 12, 2024 <br /> Facility Address: <br /> 3519 E HAMMER LN, STOCKTON <br /> Facility Name: <br /> KFC & AW COOLEY #200 <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 January 11, 2025 . <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 July 1, 2024, all in-office CERS help will be provided at the EHD hourly rate ($172). <br />To schedule an appointment , please call (209) 468-3420. <br />Elvira Fajardo, <br />Environmental Contact <br />December 12, 2024 <br />(209) 616-3064Printed Name and Title: <br /> Date: Inspector: <br /> Maria Lopez, EHS <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 />FA0014570 PR0527145 SC001 12/12/2024 <br />EHD Rev. 12/06/2021 CP22 - HMBP OIRPage 3 of 3 <br />1868 E. Hazelton Avenue | Stockton, California 95205 | T 209 468-3420 | F 209 464-0138 | www.sjgov.org/EHD