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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.sogov.or-q/ehd/unitiii.htmi <br /> CONTINUATION FORM Page: 3 of 3 <br /> OFFICIAL INSPECTION REPORT Date: 01/26/11 <br /> Facility Address: 2575 Country Club Blvd Program: UST <br /> SUMMARY OF VIOLATIONS <br /> (CLASS 1,CLASS 11,or MINOR-Notice to Comply) <br /> Routine and Monitoring System Certification Underground Storage Tank Inspection <br /> 4. Financial responsibility documents have not been submitted to the EHD. Current financial <br /> responsibility documents are required to be submitted annually to the San Joaquin Environmental Health <br /> Department (EHD). Mail to 600E Main Street, Stockton, CA 95202. The documents were received <br /> during the inspection. <br /> ALL EHD STAFF TIME ASSOCIATED WITH FAILING TO COMPLY BY THE ABOVE NOTED DATES WILL BE BILLED AT THE CURRENT HOURLY RATE($122). <br /> THIS FACILITY IS SUBJECT TO REINSPECTI)*AT ANY TIME AT EHDS CURRENT HOURLY RATE. <br /> EHD Inspe ReVW413y: Title: <br /> EHD 23-0/403 Rev 08/10/10 CONTINUATION FORM <br />