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SANJO&QU|N COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />1DS8East Hazelton Avenue, Stockton, California Q5205'G232 <br />Telephone: (2OQ)46O'342UFax: (20Q)4S8'3433Web: <br />CONTINUATION FORM <br />Page: 4 of 4 <br />OFFICIAL INSPECTION REPORT <br />Date: 09/12/13 <br />Facility Address: MCI dba Verizon Business 13850 N. Devries Rd. Lodi, CA 95240 <br />Program: UST <br />SUMMARY OF VIOLATIONS <br />(CLASS 1, CLASS 11, or MINOR -Notice to Comply) <br />105. UST Facility Operating Permit Application and UST Tank Information are not current in CERS. Any <br />change of information must be updated in CERS within 30 days of the changes. Immediately log into <br />CERS, update the required information, and submit for review by the EHD. Complete a separate tank <br />form for each tank. <br />Complete and submit a copy of the Return to Compliance Certification form with a statement of how <br />each violation was corrected, including supporting documentation, by October 12, 2013. <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 12 REINSPECTION AT ANY TIME AT E HD'S CURRENT HOURLY RATE. <br />EHD Inspector: )T,0�s I Received BY'. Title: <br />s*000-0e-0o Rev 04/19/12 CONTINUATION FORM <br />