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S A J OA Q U I N Environmental Health Department <br /> COUNTY <br /> Underground Storage Tank Program Inspection Report <br /> Facility Name: Facility Address: Date: <br /> EMILS LIQUOR&SPORTS SHOP" 1405 CALIFORNIA ST, ESCALON May 28, 2020 <br /> Documents provided during inspection: <br /> -EHD class schedule <br /> -Return to compliance certification form <br /> -Corrective Action Statement <br /> -Designated Understanding Storage Tank Operator Identification Form <br /> -Statement of Understanding and Compliance form <br /> AFTER THE COMPLIANCE DATE, EHD WILL BILL FOR ALL TIME AND ACTIVITIES ASSOCIATED WITH BRINGING <br /> THIS FACILITY BACK INTO COMPLIANCE. <br /> THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE. <br /> Received by: Date: ,July 01, 2020 Inspector: Inspector Phone: <br /> Printed Name and Title: SHEWIT WOLDEAREGAY, EH Specialist (209)468-0216 <br /> Emailed <br /> FA0000306 PR0231485 SCO01 05/28/2020 <br /> EHD 23-01 Rev.9/20/2019 Page 7 of 7 Underground Storage Tank Program OIR <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />