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San Joaquin County Is
<br /> Environmental Health Department
<br /> 1868 East Hazelton Avenue, Stockton, California 95205-6232
<br /> Telephone: (209)468-3420 Fax: (209) 468-3433 Web:www.sigov.org/ehd
<br /> Underground Storage Tank Program Inspection Report
<br /> Facility Name: Facility Phone: Date:
<br /> SAVE ON GAS & LIQUOR 209 2394700 Aril 17 2015
<br /> Facility Address: CERS ID:
<br /> 420 W YOSEMITE AVE MANTECA CA 95337 10180727
<br /> Inspection Contact: Title: Phone:
<br /> Prit al Singh Owner510 734-4111
<br /> Inspection Type: Program:
<br /> ROUTINE INSPECTION -O eratin Permit 2361 - UST FACILITY
<br /> Consent For: Consent Given By:
<br /> Ins ection Photos Sampling Prit al Sin h Owner
<br /> Service Technician Onsite Exp.Date: Designated Operator: Exp.Date:
<br /> Dave Winkler 03/03/2016 Alex Jabban 10/03/2016
<br /> Service Technician Manufacturers Training
<br /> VR: 02/10/16' VMI: '-L
<br /> V10/15
<br /> Cr=California Cotle of Regulations H C=Health and Safety Code CPR=Code of Federal Regulations
<br /> V=Violatinn R=kerePl e,n-anen w8 a r n�ne.chon
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<br /> wdBen Arraemant t]eiwPFn Tann owner and tank nneratnr in mnmf.-,r the is.v.iarp i �% -.z cnc i
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<br /> i i rw 1 C .R 77 i i L Cm2rnting Penh Anreration for Fndirt'v and Tank information not suhmiffen or current y R ^nc }
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<br /> { ifiF, CCR?6352 hwnnitodno and reannnsA nlanA not current or Annmved by the FHn i V .,W_ -1 rrnc i
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<br /> 1....w n;in,i 26,niel 1 Fated to nati5%tna FHry 4.9 hours Odor to rnndarkmg-esiinn lr R
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<br /> I "i -i Tri to Allnmif AArnnnaN rAntalnmeiV}AAT Tenon within all day _w _P .•f'(1C
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<br /> P,-x,, .52x4 2 1 Failed to teat Apih rnntainers annuaily
<br /> } 114 u;CC.R %d3firfi I Failed to nerfnn i i 1 non Annuai line tAAt fnr nrecsamen nining without fain safe nr uhm rinwn i V R qnc
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<br /> 1 118 I(a:R v71(, I l leGlnhaten nneratn! SANIr`P LAftl n!InGialiP.I❑In nor nOBRAGe tllrrent IC(;r4rtlPrAtinn , ��\% �,- R me I
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<br /> 11A i HRC lR2ai i Faiie to ranir anri retest Avstem due TO faiied Fi D teci i p rn5
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<br /> Faiiari in;nsnart a linen nr ranair el loci rank within 1f;vaarc of aninn anri aver h vearc ager V R me }
<br /> 12' 2363.
<br /> I t 2_ HRC 2w444 1 rloniments wAre fAmifieri nr miupPrPAPnIorl V R me
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<br /> 0 17d I C:C:R 9fiftn,Til i FaiiArl m suhmit I i.RT CAr if,ratinn of InCtaliahnntlVlndRlrAhnn
<br /> •-:-•,.•"••:` `aiicu'w 3uuT,ii a'rrli.wi,Fasoonaa mthin 30 days at,aces ng an,,apaCtoon_apo" •'J R _ .
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<br /> 04/17/2015
<br /> ; ELENA MANZO, REHS ` i (209) 953-7699 %'
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