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Environmental Health Department <br />Hazardous Materials Program Inspection Report <br />Date: <br />March 21, 2022 <br /> Facility Address: <br /> 4315 E WATERLOO RD, STOCKTON <br /> Facility Name: <br /> WATERLOO FOODMART <br />finished on 4/7/22 and replaces the initial checklist. <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, within 30 days of receiving the complete inspection report. <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 /> STACY RIVERA, Lead Senior REHS <br /> Inspector:April 07, 2022 Date: <br />Printed Name and Title: <br />Emailed to Rupi Padda, <br />(209) 616-3043 <br />FA0003831 PR0519496 SC001 03/21/2022 <br />EHD 19-01 Rev. 12/06/2021 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