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SAN J O A Q U I N Environmental Health Department <br /> C (_ ) lJ N I Y <br /> Underground Storage Tank Program Inspection Report <br /> Facility Name: Facility Address: Date: <br /> VALLEY PACIFIC HWY 99 CARDLOCK 3550 S HWY 99 , STOCKTON January 19, 2023 <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 /> An inspection checklist was provided to the facility operator at the time of inspection . The inspector will provide <br /> a complete report to the facility operator within the next few weeks . <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: Of t C C ZC7 z Inspector: Inspector Phone: <br /> Printed Name and Title: PAUL NSO , EH Specialist (209) 616-3049 <br /> FA0007030 PR0505627 SC001 01 /19/2023 <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 />