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San Joaquin County <br /> Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, California 95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209) 468-3433 Web:www.sigov.org/ehd <br /> Aboveground Petroleum Storage Act Inspection Report <br /> Facility Name: Facility Address: Date: <br /> Unified Grocers Inc. 1990 N PICCOLI RD STOCKTON November 23, 2015 <br /> Overall Inspection Comments: <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 by December 31, 2015. <br /> The SPCC Plan review was conducted on November 23, 2015. The facility walk through was conducted on <br /> December 1, 2015. The inspection report was provided to Thelma Sass on December 1, 2015. <br /> Please be aware as of January 1, 2013, all businesses are required to submit all new(or any changes to existing) <br /> Aboveground Petroleum Storage Act (APSA) information online to the California Environmental Reporting System <br /> (CERS) at http://cers.calepa.ca.gov in addition to any other relevant activities and required fields. No later than <br /> January 1, 2014, all APSA data must be entered and or updated in CERS. <br /> Provided: <br /> - The Return to Compliance Certification form <br /> ALL EHD STAFF TIME ASSOCIATED WITH FAILING TO COMPLY BY THE ABOVE NOTED DATES WILL BE BILLED AT THE CURRENT HOURLY RATE <br /> THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE <br /> Received By Received By(printed name and title): Date <br /> (signature): Thelma Sass Specialist, EH&S )-&// //'5. <br /> Inspector Inspector(printed name and title): Inspector Phone: <br /> (signafure)i_. STACY RIVERA. Senior REHS (209) 468-3440 <br /> Page 8 of 8 <br />