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0 0 <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 868 East Hazelton Avenue, Stockton, California 95205-6232 <br /> Telephone:(209)468-3420 Fax:(209)468-3433 Web:www.siaov.orglehd <br /> CONTINUATION FORM Page: 4 of 4 <br /> OFFICIAL INSPECTION REPORT Date: 05/13/13 <br /> Facility Address: George's Mini Mart 18662 N. Hwy 88 Lockeford, CA 95237 Program: UST <br /> SUMMARY OF VIOLATIONS <br /> CLASS I,CLASS 11,or MINOR-Notice to Comply) <br /> 305. The diesel Bravo float and chain in the diesel south satellite dispenser sump failed to stop the flow <br /> of product at the dispenser when tested. The chain lacked a clip to attach the chain to the Bravo float. All <br /> monitoring equipment shall be maintained to activate an audible and visual alarm or stop the flow of <br /> product at the dispenser when it detects a leak. The service technician added a clip, adjusted the chain, <br /> and verified functionality. <br /> Complete and submit the return to compliance certification form, corrective action statement for each <br /> violation, and any supporting documentation to the EHD by June 13, 2013, <br /> ALL EHD STAFF TIME ASSOCIATED WITH FAILING TO COMPLY BY THE ABOVE NOTED DATES WILL BE BILLED AT THE CURRENT HOURLY RATE. <br /> THIS FACILITY 1S SUBJECT TO REINSPECTION AT ANY TIME AT END'S CURRENT HOURLY RATE. <br /> EHD Inspector: p� Received By: Title: <br /> Aris Cacapit (209) 468-3453 . \ 1 `" lti <br /> END 23-02-003 Rev 04/19112 CONTINUATION FORM <br />