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SAN J OAQU I N Environmental Health Department <br /> CC LJ N T AMENDED <br /> 3/13/2023 <br /> Aboveground Petroleum Storage Act Inspection Report <br /> Facility Name: Facility Address: Date: <br /> FLYING J TRAVEL PLAZA#617 1 15237 N Thornton Rd, Lodi March 09, 2023 <br /> An inspection checklist was provided to the facility operator on the day of inspection. A complete report was <br /> finished on March 13, 2023, and replaces the initial checklist. The checklist was amended and violations 303 <br /> and 619 were removed. Violation 610 was added. <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, by April 12, 2023. <br /> The report was emailed to Matt Duce at<traveIcenter.617@ pi lottravelcenters.com>. <br /> Please note that the facility will need to have a PE certify a technical amendment for job order 2257313-1-1 <br /> (12/20/2022)where the AST fill boxes were raised. Per the work order, the piping was also raised to get the <br /> correct slope. <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: March 13, 2023 Inspector: Inspector Phone: <br /> Printed Name and Title: JOHN ALANIZ, Lead Senior REHS (209)616-3053 <br /> Amended report emailed to, Matt Duce <br /> FA0012979 PR0536558 SCO01 03/09/2023 <br /> EHD 28-01 Rev.12/06/2021 Page 6 of 6 Aboveground Petroleum Storage Act 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 />