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S A N J 0 A Q I I I Irl Environmental Health Department <br /> C C u N T AMENDED <br /> 6/6/2023 <br /> Hazardous Materials Program Inspection Report <br /> Facility Name: Facility Address: --[Date: <br /> A&A GAS FOOD MART 1330 E YOSEMITE AVE, MANTECA May 24, 2023 <br /> SUMMARY OF VIOLATIONS <br /> (CLASS I,CLASS II,or MINOR-Notice to Comply) <br /> Item# Remarks <br /> 12 HSC 25505(c) Failed to have the HMBP readily available to facility or EHD personnel. <br /> OBSERVATION: Facility could not provide the Emergency Response Plan and the inventory information upon <br /> request. <br /> REGULATION GUIDANCE: The emergency response plans and procedures,the inventory of information required <br /> by this article, and the site map required by this section shall be readily available to personnel of the business or the <br /> unified program facility with responsibilities for emergency response or training pursuant to this section. <br /> CORRECTIVE ACTION: Immediately make arrangements to have the business plan readily available for review. <br /> This is a repeat violation, Class II. <br /> Overall Inspection Comments: <br /> An inspection checklist was provided to the facility operator on the day of inspection. The report was completed <br /> and amended, and replaces the initial report. All the listed violations were marked as repeat violations and <br /> violation language was added. <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 amended inspection report, by 7/5/23. <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: June 06, 2023 Inspector: Inspector Phone: <br /> Printed Name and Title: MICHAEL SUSZYCKI, REHS (209)598-7001 <br /> Emailed to Ghulam Ali, Owner <br /> FA0012355 PR0520871 SCO01 05/24/2023 <br /> EHD 19-01 Rev.12/06/2021 Page 3 of 3 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.sjgov.org/EHD <br />