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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street,Stockton,California 95202-3029 <br /> Telephone:(209)468-3420 Fax:(209)468-3433 Web:www.siaov.orG/ehd/unitiii.htmi <br /> CONTINUATION FORM Page: 3 of 3 <br /> OFFICIAL INSPECTION REPORT Date: 11/09/10 <br /> Facility Address: 4040 West Lane Program: UST <br /> SUMMARY OF VIOLATIONS <br /> CLASS I,CLASS 11,or MINOR-Notice to Comply) <br /> Routine and Monitoring System Certification UST Inspection <br /> 5. The response plan on site is not on the current form. The monitoring and response plans must be <br /> current and approved by the EHD. Complete and submit a copy of the response plan for approval by <br /> the EHD by December 9, 2010. An approved copy will be returned for your records. <br /> ALL EHD STAFF TIME ASSOCIATED WITH FAILING TO COMPLY BY THE ABOVE NOTED DATES WILL BE BILLED AT THE CURRENT HOURLY RATE(8122). <br /> THIS FACILITY IS SUBJECT TO REINSPECT ON AT ANY TIME AT END'S CURRENT HOURLY RATE. <br /> EHD I I R rued By: TiBe: <br /> i <br /> EHD2 3 RVw08/10/10 CONTINUATION FORM <br />