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SAN JOAQIJIN <br />COUNTY <br />Environmental Health Department <br />CP22 - HMBP Inspection Report <br />Facility Name: <br />Facility Address: <br />Date: <br />SAFEWAY INC #55 <br />19555 S MOUNTAIN HOUSE PKWY, MOUNTAIN <br />September 18, 2024 <br />SUMMARY OF VIOLATIONS <br />(CLASS I, CLASS II, or MINOR - Notice to Comply) <br />Item # <br />Remarks <br />CORRECTIVE ACTION: Immediately log into the California Environmental Reporting System (CERS) at <br />http://cers.calepa.ca.gov/, upload the correct or updated information, and submit to the EHD for approval. <br />This is (Minor) Violation. <br />Overall Inspection Comments: <br />Conducted a Hazardous Materials Business Plan (HMBP) inspection. There was 3 violation found during the <br />inspection. Complete and submit a copy of the Return to Compliance Certification form to the EHD with a <br />statement documenting the corrective actions that have been or will be taken for each violation, and any <br />supporting paperwork, by 10/18/2024. <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. Starting September 1, 2018, all in -office CERS help will be provided at EHD hourly rate ($172). <br />To schedule an 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: September 18, 2024 <br />Inspector: <br />Inspector Phone: <br />Printed Name and Title: <br />Nicholas Loehrer, Hazmat Specialist II <br />(209) 468-0623 <br />Vidal Yerena, Store <br />Manager <br />FA0027452 PRO548315 SCO01 09/18/2024 <br />EHD Rev. 12/06/2021 Page 3 of 3 CP22 - HMBP OIR <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 />