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SAN J O A Q U I N Environmental Health Department <br /> - - COU NIT Y -- <br /> Aboveground Petroleum Storage Act Inspection Report <br /> Facility Na e `� Facilit Address: y / Date : ^ � /` <br /> Vn 11 LeoC i UVI (St G C <br /> Other Violations <br /> 4010 See below Unlisted Administration/Documentation violation ❑ V ❑ R ❑ COS <br /> 4020 See below Unlisted Training violation ❑ V ❑ R ❑ COS <br /> 4030 See below Unlisted Operations/Maintenance violation ❑ V ❑ R ❑ COS <br /> 4040 See below Unlisted Release/Leaks/Spills violation ❑ V ❑ R ❑ COS <br /> 4050 See below Unlisted Abandonment/[ llegal Disposal/Unauthorized Treatment violation ❑ V ❑ R ❑ COS <br /> SUMMARY OF VIOLATIONS <br /> (CLASS I, CLASS II, or MINOR - Notice to Comply) <br /> Item # Remarks <br /> Overall Inspection Comments , <br /> � 5 ins � c�h � cn ) CO&t \fv( bt Ver O ( Pct � L 6t� <br /> AFTER THE COMPLIANCE DATE, EHD WILL BILL FOR ALL TIME AND ACTIVITIES ASSOCIATED WITH BRINGING THIS <br /> FACILITY BACK INTO COMPLIANCE . <br /> THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE . <br /> Received by: Date : i %; <br /> nI ` Inspector: Inspector Phone: <br /> U/ U/ ` In <br /> �^ n i <br /> Printed Name and Titl � I / 1 V" J/,{ I I GV <br /> mop M 1 <br /> \ \ ` Ih � I V 1 FA0010323 PR0528682 SCO03 06/13/2019 <br /> EHD 28-01 Rev. 09/27/2018 IV �rJ G Y V' Page 4 of 4 Aboveground Petroleum Storage Act OIR <br /> 1868 E . Hazelton Avenue ( Stockton , California 95205 T 209 468-3420 1 F 209 464-0138 1 www. sjcehd . com <br />