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San Joaquin County , <br /> Environmental Health Department A N5 EMN!io E- <br /> 1868 East Hazelton Avenue, Stockton, California 95205-6232 — — <br /> Telephone: (209)468-3420 Fax: (209)468-3433 Web:www.sjgov.org/ehd <br /> Facility Name: Facility Address: Date: <br /> Valley Pacific Petroleum Escalon 1512 WEISS WAY ESCALON February 01 2016 <br /> Overall Inspection Comments: <br /> An inspection checklist was provided to the facility operator at the time of inspection. The EHD has written the <br /> complete report which replaces the initial checklist. <br /> Complete and submit a copy of the Return to Compliance Certification form to the EHD with a statement <br /> documenting the corrective actions that have been or will be taken for each violation, and any supporting <br /> paperwork, within 30 days of receiving the complete inspection report. <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: Inspector: Inspector Phone: <br /> V� Printed Name and Title: ELENA MANZO, Senior REHS (209) 953-7699 <br /> � rAQAI <br /> Page 4 of 4 <br />