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SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 East Hazelton Avenue, Stockton, Califomia 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 468-3433 Weis: www.sigov.org/ehd <br />CONTINUATION FORM <br />Page: 5 of 5 <br />OFFICIAL INSPECTION REPORT <br />Date: 03/28/13 <br />Facility Address: Morada Chevron, 10878 N Hwy 99, Stockton <br />Program: UST <br />SUMMARY OF VIOLATIONS <br />CLASS I, CLASS II, or MINOR -Notice to Comply) <br />Notes <br />1. Complete the following by April 28, 2013 and send to the San Joaquin County Environmental Health <br />Department: <br />a. The Return to Compliance Certification form. <br />b. A statement explaining how each violation was corrected. <br />c. Supporting documentation. <br />2. CERS (California Environmental Reporting System) information was provided to the operator. <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 IS SUBJECT TO REINSPECTION AT A TIME AT EHD'S CURRENT HOURLY RATE. <br />EHD Inspector: <br />Received By: <br />Title: <br />Garrett Backus (209) 468-2986 <br />Ut1U a <br />EHD 2302-003 Rev 04119112 CON14UATION FORM <br />