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• i <br /> 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.siooy.org/ehd/unitiii.html <br /> CONTINUATION FORM Page: 3 of 3 <br /> OFFICIAL INSPECTION R PORT Date: 10/13/10 <br /> Facility Address: 508 W. Dr. Martin Luther King Jr. Blvd., Stockton CA Program: UST <br /> SUMMARY OF VIOLATIONS <br /> CLASS I,CLASS II,or MINOR-Notice to Comply) <br /> No violations were noted at the time of the inspection ff� <br /> Note: All test results are required to be submitted to the EHD within t irty days of the test. 'r- -�' T + rR ' <br /> Forl' <br /> This facility has a street name change and a updated Facility fiT�ubmitted w44&QP-site. In the <br /> future this facility plans to convert the diesel tank to regular unleaded. A permit application will be <br /> required since concrete will be broken over the tank to reconnect the vapor recovery line. An updated <br /> Tank form will be required to be submitted to change the contents of the tank on the operating permit. <br /> ALL EHD STAFF TIME ASSOCIATED WITH FAILING TO COMPLY BY THE ASO V ED DAT WILLW IL ED AT THE CURRENT HOURLY RATE($122). <br /> THIS FACILITY IS SUBJECT TO REINSPECTIOANYYAE AT H NT HOURLY RATE. <br /> EH Spector: Rece' y: Title: <br /> EHD 23-02-003 Rev 08/10/10 CONTINUATION FORM <br />