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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.ora/ehd <br />CONTINUATION FORM <br />Page: 4 of 4 <br />OFFICIAL INSPECTION REPORT <br />Date: 06/05/14 <br />Facility Address: 1856 W Country Club Blvd <br />Program: UST <br />SUMMARY OF VIOLATIONS <br />CLASS I, CLASS II, or MINOR -Notice to Comply) <br />119, 120 & 317. This UST system was found to be illegally abandoned. No person shall abandon an <br />UST system without complying with the requirements of HSC 25298(a), (b), and (c). It is unknown what <br />the plans are for this facility. Immediately obtain a permit from the EHD to temporarily close or remove <br />this UST system. A "Failure to Obtain a Permit" penalty applies. <br />201, 204, 205, 206. On site records. Currently this facility is not operating. According to Ann Elder, she <br />does not have any records for me to review. Immediately provide copies of all monitoring, maintenance, <br />designated operator monthly reports and designated operator training logs to the EHD begining with <br />February 2013. <br />Complete and submit a copy of the Return to Compliance Certification form with a statement of how <br />each violation was corrected, including supporting documentation, by July 6, 2014. <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 />Insect rReceived.By: <br />UI� qW11� <br />� <br />Ii <br />Title: <br />V - V i <br />EHD 23-02-003 Rev 04/19/12j ?- CONTINUATION FORM <br />