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S A N J O A Q U I N Environmental Health Department <br /> C.0 LJ N I Y <br /> Underground Storage Tank Program Inspection Report <br /> Facility Name: Facility Address: Date: <br /> GOLDEN BEAR GAS INC. 2057 S EL DORADO ST, STOCKTON February 28, 2022 <br /> Other Violations <br /> 2010 See below Unlisted General violation ❑V ❑R ❑COS <br /> SUMMARY OF VIOLATIONS <br /> (CLASS I,CLASS II,or MINOR-Notice to Comply) <br /> Item# Remarks <br /> Overall Inspection Comments: <br /> A service technician was on site to perform the monitoring system certification. Permission for the inspection <br /> was not granted. Per Moe Alzghoul, the owner would prefer to reschedule the inspection at a time he can be <br /> present. Moe stated he is aware the reinspection is billable and will be contacting Affordtest to schedule a sump <br /> inspection. A paper work inspection and a sump inspection are still needed. Immediately schedule these <br /> inspections and provide at least 48 hours notice to the EHD at ust@sjgov.org. All EHD staff time associated with <br /> these inspections will be billed at the current hourly rate ($152). <br /> An inspection checklist has been provided. The inspector will provide a complete report upon completion of the <br /> inspection. <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 /> 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: February 28, 2022 Inspector: Inspector Phone: <br /> Printed Name and Title: KRISTINA SAETERN, EH Specialist (209)616-3045 <br /> Emailed to Moe Alzghoul,Tank Owner <br /> FA0003735 PR0231083 SCO01 02/28/2022 <br /> EHD 23-01 Rev.12/06/2021 Page 4 of 4 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 />