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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.org/ehd <br /> Underground Storage Tank Program Inspection Report <br /> Facility Name: Facility Address: Date: <br /> DSS COMPANY T655 W CLAY ST STOCKTON Jul 02 2015 <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, by August 1, 2015. <br /> Please be aware that as of January 1, 2014, facility operators are required to upload the following UST program <br /> documents into the California Environmental Reporting System(CERS): UST Monitoring Site Plan, UST <br /> Certification of Financial Responsibility, UST Response Plan, UST Letter from Chief Financial Officer(if <br /> applicable), and the Owner Statement of Designated Operator Compliance. The UST Owner/Operator: Written <br /> Agreement, if applicable, can be stored at the facility or uploaded into CERS. <br /> Note: An open-top, steam cleaner clarifier pit was observed on site with oily pooling on top. The pit is made of <br /> concrete and is below-grade. According to Mr. Azevedo, this is a closed loop system, and the liquid is sometimes <br /> reused for cleaning. He stated that the clarifier pit is cleaned out approximately once a year and a sample is taken <br /> prior to disposal by Asbury Environmental This may be an underground storage tank. Additional research will be <br /> done by EHD. <br /> Provided: Return to Compliance Certification form, Schedule of free CUPA classes <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 F ILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE <br /> Received By Received By(printed name and title): Date: <br /> (signature): Steve Azevedo, Calif. Env. Manager /2— <br /> Inspector <br /> Inspector Inspector(printed name and title): Ins or P one: <br /> (signature]K^___ . - STACY RIVERA, Senior REHS (209)468-3440 <br /> Page 5 of 5 <br />