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S A N J O A Q U I N Environmental Health Department <br /> C:C3U N I Y <br /> Underground Storage Tank Program Inspection Report <br /> Facility Name: Facility Address: Date: <br /> San Joaquin General Hospital 500 W Hospital Rd, French Camp August 12, 2021 <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 /> Documents provided: Return to Compliance certification, flyer for free CUPA classes <br /> NOTE: Monitoring certification testing is incomplete. Service technician did not have complete certifications to <br /> test the OPW Site Sentinel Fouch monitoring panel. Provide 48 hours written notification to ust@sjgov.org to <br /> arrange the monitoring certification. Please be aware that all EHD staff time associated with a follow up <br /> inspection will be billed at our current hourly rate ($152). <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: Date: August 12, 2021 Inspector: Inspector Phone: <br /> Printed Name and Title: LYDIA BAKER, REHS (209)616-3046 <br /> Emailed to Jesse Escotto, Facilities Manager <br /> FA0000086 PR0231614 SCO01 08/12/2021 <br /> EHD 23-01 Rev.9/16/2020 Page 5 of 5 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.sjgov.org/EHD <br />