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SAN <br /> ` , J O i Q U I ` , Environmental Health Department <br /> Underground Storage Tank Program Official Inspection Report <br /> Facility Name and Address: Marks Fuel& Food, Inc., 880 EVICTOR RD, LODI 95240 <br /> #121 Failure to implement corrections and submit written response within 30 days of receiving the report <br /> OBSERVATIONS: <br /> CALCODE DESCRIPTION:5 2712. Permit Conditions. <br /> (f) Within 30 calendar days of receiving an inspection report from either the local agency or the special inspector, the permit holder shall <br /> implement the corrections specified in the inspection report and comply with the permit conditions. The corrective action shall include all of <br /> the recommendations made by the local agency or special inspector. The local agency may waive the implementation of any of the special <br /> inspector's recommendations based on a demonstration by the permit holder to the local agency's satisfaction that failure to implement the <br /> recommendation will not cause an unauthorized release. <br /> #113 Failure to submit"Monitoring System Certification Form"within 30 days of completion of the test <br /> OBSERVATIONS: <br /> CALCODE DESCRIPTION:6 2638.Annual Certification of Monitoring Equipment. <br /> (d)UST owners and operators shall submit a completed#Monitoring System Certification#form to the local agency within 30 days after <br /> completion of the inspection. <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Expiration Date: <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: °F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: °F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> No Temperature Data Collected <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Flow rate: gpm Chlorine: ppm Temp: ° F <br /> Cyanuric acid: ppm pH: Combined chlorine: ppm <br /> NOTES <br /> No comment entered. <br /> The person in charge is responsible for ensuring that the above mentioned facility is in compliance with all applicable sections of the California Health and <br /> Safety Code.If a reinspection is required,fees will be assessed at the current hourly rate. <br /> Received by: Name and Title: Manish Pahwa, Manager <br /> EH Specialist: CAROL PRESTO Phone: (209)616-3061 <br /> FA0003862 PR0231746 SCO01 09/29/2020 <br /> EHD 23-01 Rev.09/16/2020 Page 2 of 2 Underground Storage Tank <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjgov.org/EHD <br />