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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, California 95202-3029 <br /> Telephone:(209)468-3420 Fax:(209)468-3433 Web:www.sigov.org/ehd/unitiii.html <br /> CONTINUATION FORM Page: 3 of 3 <br /> OFFICIAL INSPECTION REPORT Date: 08/11/10 <br /> Facility Address: 1553 Colony Road, Ripon Program: UST <br /> SUMMARY OF VIOLATIONS <br /> CLASS 1,CLASS II,or MINOR-Notice to Com <br /> 3. UST tank forms on file with the EHD are not current. Any change of information on these forms must <br /> be submitted to the EHD within 30 days of the changes. Immediately complete and submit a copy of the <br /> tank forms to the EHD. Complete a separate tank form for each tank. <br /> Note <br /> A return to compliance certification must be submitted to this office with in 30 days of receiving this <br /> report. <br /> Free CUPA class information was provided. <br /> ALL EHD STAFF TIME ASSOCIATED MTH FAILING TO COMPLY BY THE ABOVE NOTED DATES WILL BE BILLED AT THE CURRENT HOURLY RATE($122. <br /> THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE. <br /> EHD Inspector: Received By: Title: VlV�jnryt�v��� <br /> EHD 23-02-003 Rev 08/10/10 CONTINUATION FORM <br />