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SAN <br /> JOAQUIN <br /> Environmental Health Department <br /> —C UNT <br /> CP22 - UST FULL Inspection Report <br /> Facility Name: Facility Address: Date: <br /> HARNEY LANE AM PM 255 E HarneyLN Lodi June 20 2024 <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 complete inspection report. <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 20, 2024 Inspector: Inspector Phone: <br /> Printed Name and Title: Stacy Rivera, Lead Senior REHS (209)616-3043 <br /> Arminder Lada, Manager <br /> FA0021617 PR0537549 SCO01 06/20/2024 <br /> EHD Rev.12/06/2021 Page 10 of 10 CP22-UST FULL 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 />