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SAN J OAQ U I Environmental Health Department <br /> - U T AMENDED <br /> 5/15/2020 <br /> Hazardous Materials Program Inspection Report <br /> Facility Name: Facility Address: Date: <br /> TIKI LAGUN RESORT& MARINA 12988 W MCDONALD RD, STOCKTON TMay 12, 2020 <br /> Disregard the "COS' check mark for violation 15; the box was checked in error. <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 June 11, 2020. <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 September 1, 2018, all in-office CERS help will be provided at EHD hourly rate <br /> ($152). 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 <br /> THIS FACILITY BACK INTO COMPLIANCE. <br /> THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE <br /> Received by: Date: May 12, 2020 Inspector: Inspector Phone: <br /> Printed Name and Title: ROBERT LOPEZ, Haz Mat Specialist 11 (209) 953-6214 <br /> Bryan Conley, Manager <br /> FA0004175 PR0519572 SCO01 05/12/2020 <br /> EHD 19-01 Rev.9/20/2019 Page 6 of 6 Hazardous Materials Program OIR <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />