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Environmental Health Department <br />AMENDED <br />6/23/2020 <br />Underground Storage Tank Program Inspection Report <br />Date: <br />April 07, 2020 <br /> Facility Address: <br /> 1904 DANIELS ST, MANTECA <br /> Facility Name: <br /> ARCO AM/PM #83831* <br />sumps and UDCs. Verified proper sensor locations. Paperwork inspection is still needed. An inspection <br />checklist was provided to the facility operator on the day of inspection. A complete report was finished on <br />6/23/2019 and replaces the initial checklist. <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, within 30 days of receiving the complete inspection report. <br />To minimize person to person contact EHD is choosing to write the name of person receiving the report instead <br />of having them sign. Starting September 1, 2018, all in-office CERS help will be provided at EHD hourly rate <br />($152). To schedule an appointment, please call (209) 468-3420. <br />Documents provided during inspection: <br />-EHD class schedule <br />-Return to compliance certification form <br />-Corrective Action Statement <br />AFTER THE COMPLIANCE DATE, EHD WILL BILL FOR ALL TIME AND ACTIVITIES ASSOCIATED WITH BRINGING <br />THIS FACILITY BACK INTO COMPLIANCE. <br />THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE. <br /> Received by: Inspector Phone: <br /> (209) 468-0216 SHEWIT WOLDEAREGAY, EH Specialist <br /> Inspector:June 23, 2020 Date: <br />Printed Name and Title: <br />Tracie Jones, Store Manager <br />FA0024059 PR0541937 SC001 04/07/2020 <br />EHD 23-01 Rev. 9/20/2019 Underground Storage Tank Program OIRPage 5 of 5 <br />1868 E. Hazelton Avenue | Stockton, California 95205 | T 209 468-3420 | F 209 464-0138 | www.sjcehd.com