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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.siaov.org/ehd <br /> CONTINUATION FORM Page: 4 of 4 <br /> OFFICIAL INSPECTION REPORT Date: 03/26/13 <br /> Facility Address: 1524 Fresno Ave., Stockton Program: UST <br /> SUMMARY OF VIOLATIONS <br /> CLASS I, CLASS II,or MINOR-Notice to Comply) <br /> 204. The designated operator failed to document all the alarms from the attached alarm history on the <br /> September 2012 and the December 2012 designated operator monthly inspection reports and failed to <br /> check that they were responded to appropriately. The missing alarms include: L1 - 87 STP sump on <br /> December 2, 2012 and L4 - 87/diesel annular on September 4, 2012. During the monthly inspection, the <br /> designated operator shall review the alarm history for the previous month, check that each alarm was <br /> documented and responded to appropriately, and attach a copy of the alarm history with documentation <br /> taken in response to any alarms to the monthly report. Ensure that designated operators performing <br /> monthly inspections at this facility are including all of the required information on the reports. <br /> Complete and submit a copy of the Return to Compliance Certification form to the EHD by May 2, 2013 <br /> along with a statement documenting the corrective actions that have been or will be taken for each <br /> violation, and any supporting paperwork. <br /> 'Reviewed and corrected CERS submittals on site. Approved updated monitoring and response plans. <br /> Provided: Return to Compliance Certification form <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 /> EHD Inspector: Received By: Title: <br /> Stacy Rivera (209) 468-3440 (Q/�PC��1} �j <br /> EHD 23-02-003 Rev 04/19/12 CONTINUATION FORM <br />