Laserfiche WebLink
Environmental Health Department <br />Hazardous Materials Program Inspection Report <br />Date: <br />July 28, 2021 <br /> Facility Address: <br /> 444 W MOSSDALE RD, LATHROP <br /> Facility Name: <br /> Mossdale Chevron <br />Violation #7 added and an amended stamp. <br /> There were three violation(s) during the inspection. Complete and submit a copy of the Return to Compliance <br />Certification form to the EHD with a statement documenting the corrective actions that have been or will be <br />taken for each violation, and any supporting paperwork, by 10/7/2021. <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 />Documents provided: Amended Inspection report and corrective action statement 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: Inspector Phone: <br /> PAUL NSO, EH Specialist <br /> Inspector:September 07, 2021 Date: <br />Printed Name and Title: <br />E Mailed to:Pal Dhaliwal, Owner <br />(209) 616-3049 <br />FA0000212 PR0520915 SC001 07/28/2021 <br />EHD 19-01 Rev. 9/16/2020 Hazardous Materials Program OIRPage 3 of 3 <br />1868 E. Hazelton Avenue | Stockton, California 95205 | T 209 468-3420 | F 209 464-0138 | www.sjgov.org/EHD