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S A N J O A Q U I N Environmental Health Department <br /> C.C_3 U N I Y <br /> Underground Storage Tank Program Inspection Report <br /> Facility Name: Facility Address: Date: <br /> COUNTRY MARKETPLACE 1789 W CHARTER WAY, STOCKTON March 08, 2021 <br /> ($152). To schedule an appointment, please call (209)468-3420. <br /> Documents provided during inspection: Inspection Report, Return to Compliance Certification, Corrective Action <br /> Statement, list of free CUPA classes, and blank UST forms (financial responsibility, statement of compliance, <br /> and chief financial officer letter) <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: March 16, 2021 Inspector: Inspector Phone: <br /> Printed Name and Title: VICKY VANG-LEE, EH Specialist (209)616-3028 <br /> Emailed to TJ Singh, Manager <br /> FA0007486 PR0506538 SCO01 03/08/2021 <br /> EHD 23-01 Rev.9/16/2020 Page 7 of 7 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.sjgov.org/EHD <br />