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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 /> CONTINUATION FORM Page: 7 of 7 <br /> OFFICIAL INSPECTION REPORT Date: 09/19/12 <br /> Facility Address: 12988 W. McDonald Rd., Stockton Program: APSA <br /> SUMMARY OF VIOLATIONS <br /> CLASS I,CLASS II,or MINOR-Notice to Comply) <br /> 619. No records of integrity and leak testing for buried piping were available. You must regularly <br /> inspect all aboveground valves, piping, and appurtenances. During the inspection you must assess the <br /> general condition of items, such as flange joints, expansion joints, valve glands and bodies, catch pans, <br /> pipeline supports, locking of valves, and metal surfaces. You must also conduct integrity and leak testing <br /> of buried piping at the time of installation, modification, construction, relocation, or replacement. <br /> Immediately conduct all required testing for the buried piping at this site. Submit a copy of test records <br /> to the EHD by October 20, 2012. <br /> Complete and submit a copy of the Return to Compliance Certification to the EHD by October 20, 2012, <br /> along with a statement documenting the corrective actions that have been or will be taken for each <br /> violation, and any supporting paperwork. <br /> Provided: 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 /> EHD Inspector: Received By: Title: <br /> Stacy Rivera (209) 468-3440 <br /> EHD 23-02-003 Rev 04/19/12 CONTINUATION FORM <br />