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Environmental Health Department <br />Hazardous Materials Program Inspection Report <br />Date: <br />May 10, 2024 <br /> Facility Address: <br /> 4422 WILD GRAPE DR, STOCKTON <br /> Facility Name: <br /> STKN MUD WATER WELL #28 <br />Overall Inspection Comments: <br />Conducted a Hazardous Materials Business Plan (HMBP) inspection. There were 3 violations during the <br />inspection. Complete and submit a copy of the Return to Compliance Certification form to the EHD with a <br />statement documenting the corrective actions that have been or will be taken for each violation, and any <br />supporting paperwork, by 6/9/2024. <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 />($162). To schedule an appointment, please call (209) 468-3420. <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 /> MARIA LOPEZ, EH Specialist <br /> Inspector: Date: <br />Printed Name and Title: <br />, <br />(209) 616-3064 <br />FA0012742 PR0516692 SC001 05/10/2024 <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