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0 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: 4 of 4 <br /> OFFICIAL INSPECTION REPORT Date: 06/22/12 <br /> Facility Address: 1533 E. Lindsay, Stockton Program: UST <br /> SUMMARY OF VIOLATIONS <br /> CLASS I,CLASS II,or MINOR-Notice to Comply) <br /> NOTES <br /> (The following is not violation at this time, but may become a violation if conditions are not met.) <br /> 112. Annual line tightness testing was not performed during this inspection today. Annual line tightness <br /> testing was last performed on June 27, 2012 and is due by June 30, 2012. This testis required <br /> annually. Immediately schedule this test by June 30, 2012, provide 48 hours notification to the EHD, <br /> and submit a copy of the test report within 30 days of the tests. It is up to the discretion of EHD if a <br /> follow up inspection by EHD staff will be performed, but please be aware that a follow up inspection will <br /> be charged at EHD current hourly rate. <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 /> Jeffrey Wong (209) 468-0335 Cid 1 <br /> EHD 23-02-003 Rev 04/19/12 CONTINUATION FORM <br />