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AMENDED <br /> is <br /> SAN 1 D A Q U I N Environmental Health Department <br /> Underground Storage Tank Program Inspection Report <br /> Facility Name: Facility Address: Date: <br /> AISLE 1 #2356 4219 E MORADA LN, STOCKTON JUly 09, 2019 <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 /> NOTE: Store manager, Cindy Chheng stated that ownership (RADC Enterprises, Inc.)took place in <br /> mid-December of 2018. <br /> Documents provided: <br /> -Return to compliance certification <br /> -EHD class schedule <br /> -Certification of Financial Responsibility Form <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: Inspector: Inspector Phone: <br /> Printed Name and Title: SHEWIT WOLDEAREGAY, EHS Trainee (209)468-0216 <br /> FA0016523 PR0524617 SCO01 07/09/2019 <br /> EHD 23-01 Rev.09/28/2018 Page 6 of 6 Underground Storage Tank 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 />