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Underground Storage Tank Program Inspection Report <br />Date: <br />September 11, 2025 <br />Facility Address: <br />1909 CEMETERY LN, Stockton <br />Facility Name: <br />Environmental Health Department <br />Inspector Phone: <br />(209) 616-3065 <br />Inspector: <br />Aaron Madera, EHS <br />Date: September 11, 2025 <br />Printed Name and Title: <br />Michael Thomas, Environmental <br />Contact <br />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 />Overall Inspection Comments <br />Routine UST Inspection <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 October 11, 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, 2025, all in-office CERS help will be provided at EHD hourly rate ($179). <br />To schedule an appointment, please call (209) 468-3420. <br />Notes: <br />- Ensure that the facility address on the DO monthly inspection report forms accurately reflect the location of the UST. <br />1868 E. Hazelton Avenue | Stockton, California 95205 | T 209 468-3420 | F 209 464-0138 | www.sjgov.org/EHD <br />Page 7 of 7EHD - CUPA Inspection Report IS02 9/11/2025FA0004458 PR0231036 4549655