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San Joaquin County <br /> Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, California 95205-6232 <br /> Telephone: (209)468-3420 Fax: (209)468-3433 Web:www.siqov.orq/ehd <br /> Underground Storage Tank Program Inspection Report <br /> Facility Name: Facility Address: Date: <br /> SUMMARY OF VIOLATIONS <br /> (CLASS 1,CLASS II,or MINOR-Notice to Comply) <br /> Item # Remarks <br /> CCR 2635(b) Spill container failed to contain a minimum capacity of five gallons. <br /> oe 6i-octane spiii container failed wi, minimum capacity of five gallons and <br /> e capable of containing a spill or overril, um" It 's uelec leu ar cieanea up Ine technician replaced the swlvei adapter <br /> nd retested the spiii container with passing results. <br /> This is a Class 11 violation. <br /> Overall Inspection Comments: <br /> Complete and <br /> documenting the corrective actions that have be, r will be taken for each violation, and any supporting <br /> paperwork, by May 31, 2015. <br /> Please be aware that as of January 1. 2014, facility operators are required to upload the following UST program <br /> documents into the California 'Environmental Reporting System (CERS)� UST Monitoring Site Plan, UST <br /> Certification of Financial Responsibility, UST Response Plan, UST Letter from Chief Financial Officer (if <br /> _Ipplicable), and the Owner Statement of Designated Operator Compliance, The UST Owner/Operator: Writter, <br /> Agreement, if applicable, can be stored at the facility or uploaded into CERS. <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 ANY TIME AT EHD'S CURRENT HOURLY RATE. <br /> Received By Received By(printed name and title): Date: <br /> (signature): ��y .,. � �_, �� N\M<" j ,Q .ip\�-- U` s-v \— , <�- <br /> Ins ector <br /> Inspector(printed name an tit ) � Inspector Phone: <br /> (signature): <br /> Page 5 Of 5 <br />