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SAN" J D�l+ �� I 1411" Environmental Health Department <br /> COUNTY— <br /> Underground <br /> �l O U N T -- <br /> Underground Storage Tank Program Inspection Report <br /> Facility Name: Facility Address: Tileptember <br /> ate: <br /> Trac Texaco 2375 N TRACY BLVD TRACY 23 2019 <br /> Documents provided during inspection: <br /> -Return to compliance certification <br /> -Corrective Action Statement <br /> -EHD class schedule <br /> -Designated Understanding Storage Tank Operator Identification Form <br /> -Statement of Understanding and Compliance form <br /> AFTER THE COMPLIANCE DATE, EHD WILL BILL FOR ALL TIME AND ACTIVITIES ASSOCIATED WITH BRINGING THIS <br /> FACILITY BACK INTO COMPLIANCE. <br /> THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE. <br /> Received by: Date: September 23, 2019 Inspector: Inspector Phone: <br /> Printed Name and Title: SHEWIT WOLDEAREGAY, EH Specialist (209)468-0216 <br /> Rajinder Kaur, Cashier <br /> FA0006443 PR0231897 SCO01 09/23/2019 <br /> EHD 23-01 Rev.08/27/2019 Page 7 of 7 Underground Storage Tank Program OIR <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />