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ENVIRONMENTAL HEALTH DEPARTMENT <br /> �o SAN JOAQUIN COUNTY <br /> Supervisor <br /> Donna K Her RE.H.S. Carl Bo R.E.H.S..S. <br /> Director 304 East Weber Avenue, Third Floor Mike Huggins,R.E.H.S., <br /> R.D.I. <br /> At Olsen,R.E.H.S. Stockton, California_95202-2708 Douglas W.Wilson,R.E.H.S. <br /> • � `� <br /> Program Manager a, � g Telephone: (209) 468-3420 Margaret Lagorio,R.E.H.S. <br /> iced Laurie A.Corolla,R.E.H.S. Robert McClellon,R.E.H.S. <br /> Program Manager Fax: (209)464-0138 Mark Barcellos,R.E.H.S. <br /> 4/4/03 <br /> HEATHER MOON <br /> 2800 YGNACIO VALLEY RD <br /> WALNUT CREEK 94598 <br /> RE: Safeway#1769 <br /> A routine underground storage tank inspection was conducted by San Joaquin County Environmental Health <br /> Division(EHD)on 2/15/03 at the above referenced site. <br /> An inspection report was issued to you along with a request for pertinent information that was necessary in order to <br /> bring this site into compliance. <br /> Failure to correct the violations will result in continuing/additional violations.Failure to submit the completed <br /> underground storage tank information by 4/15/03 will result in a re-inspection billed at EHD's hourly rate,which is <br /> currently$89.00. <br /> The missing information include(s); <br /> ❑ Current State Form Annual Line Leak Detector Results <br /> ❑ Current State Form B ❑ Annual Monitoring Certification <br /> ❑ Monitoring and Response Plan ❑ Maintenance and Monitoring Log <br /> ❑ Annual Line Tightness Test Results ❑ Pervt submitted to repair/replace failed equipment <br /> ❑ Certification of Financial Responsibility/Letter from <br /> Chief Financial Officer <br /> Most forms may be accessed from our web site address, www.eeocities.com/unitiii. <br /> If you have any questions,please call John Jackson R.E.H.S.at(209)468-3440. <br /> Sincerely, <br /> Doug Wilson, Supervising R.E.H.S. <br />