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9 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.sagov.oM/ehd/unitiii.htmi <br />CONTINUATION FORM <br />Page: 4 of 4 <br />OFFICIAL INSPECTION REPORT <br />Date: 12/21/11 <br />Facility Address: 2057 S. EI Dorado St., Stockton <br />Program: UST <br />SUMMARY OF VIOLATIONS <br />CLASS 1, CLASS 11, or MINOR -Notice to Comply) <br />305. Both Bravo box float and chains in the UDC 1/2 sump failed to stop the flow of product at the <br />dispenser when tested. All monitoring equipment shall be maintained to activate an audible and visual <br />alarm or stop the flow of product at the dispenser when it detects a leak. The service technician <br />adjusted the chains and verified functionality. <br />Complete and submit a copy of the Return to Compliance Certification to the EHD by January 21, 2012 <br />along with a statement documenting the corrective actions that have been or will be taken for each <br />violation and any supporting paperwork. <br />Note: (corrected on site) <br />A copy of the UST operating permit was not found on site. A copy of the UST operating permit and all <br />attachments and conditions shall be retained at the facility. A copy of the permit was provided by EHD <br />at the time of inspection. <br />"All EHD staff time associated with the today's inspection for the monitoring system certification will be <br />billed at the current hourly rate ($125). <br />Provided: <br />- Return to Compliance Certification form <br />- Financial responsibility forms (Certification of Financial Responsibility & CFO Letter) <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 />EHD Inspector. <br />Stacy Rivera (209) 468-3440 <br />Received <br />0-7 CM 5 0)7. <br />Title: <br />EHD 23-02-003 Rev 07/12/11 CONTINUATION FORM <br />