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San Joaquin Count <br /> q Y <br /> Environmental Health Department <br /> ; 1868 East Hazelton Avenue, Stockton, CA95205-6232 <br /> ... — Telephone:(209)468-3420 Fax: (209)464-0138 Web:www.sjgov.org/ehd <br /> 4C/j3pp� <br /> Underground Storage Tank Program Compliance Review Report <br /> Facility Name: Facility Phone: Date: <br /> ELDORADO FOOD MART (209) 451-4632 March 12, 2018 <br /> Facility Address: CERS ID: <br /> 1901 S EL DORADO ST, STOCKTON, CA 95206 10180839 <br /> Inspection Contact: Title: Phone: <br /> The following non-inspection related violations listed below from the California Health and Safety Code (HSC), California <br /> Code of Regulations (CCR) and/or the Code of Federal Regulations (CFR)were found. <br /> Current financial responsibit' = rri <br /> s <br /> OBSERVATIONS: Financial responsibility documents have not been submitted to the EHD. Financial responsibility <br /> documents are dated 12/16/16. Current financial responsibility documents are required to be submitted annually. <br /> Immediately log into the California Environmental Reporting System (CERS) at http://cers.calepa.ca.gov/, and upload the <br /> required documents. <br /> This is a minor violation. <br /> . S'. . D COMME W � �. <br /> P, ��+,; ..>=a+,.� sem.««�r ,�. ��,..�: „sff�'„�.,��. <br /> This is an in office inspection report, violations are part of in office review of facility. <br /> Complete and submit a copy of the Return to Compliance Certification form to the EHD with a statement documenting the <br /> corrective actions that have been or will be taken for each violation, and any supporting paperwork, within 30 days of <br /> receipt of this report.. <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 Certification of <br /> Financial Responsibility, UST Response Plan, UST Letter from Chief Financial Officer(if applicable), and the Owner <br /> Statement of Designated Operator Compliance. The UST Owner/Operator: Written Agreement, if applicable, can be <br /> stored at the facility or uploaded into CERS. <br /> I MINE 1111 1 ; 1101111 iii I <br /> Please submit all requested documentation to the address above, attention to: CESAR RUVALCABA, EH Specialist <br /> If you have any questions, please contact CESAR RUVALCABA at(209) 953-6213. <br /> FA0001946 PR0231092 SCO21 03/12/2018 <br /> Rev.01/08/16 Page 1 of 1 Underground Storage Tank Program Compliance Review Report <br />