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SAN,tJ OAQ U I N Environmental Health Department <br /> -COUNTY— <br /> Underground Storage Tank Program Inspection Report <br /> Facility Name: Facility Address: Date: <br /> FOOD 4 LESS FUEL CENTER* 3408 MANTHEY RD, STOCKTON December 10, 2018 <br /> SUMMARY OF VIOLATIONS <br /> (CLASS I, CLASS II, or MINOR-Notice to Comply) <br /> Item # Remarks <br /> Overall Inspection Comments: <br /> On site to witness inside the under dispenser sumps, submersible turbine sump, fill sumps. An inspection <br /> checklist was provided to the facility operator at the time of inspection. The EHD will return to complete the <br /> routine inspection, and will generate and provide a complete report to the facility operator. <br /> Complete and submit a copy of the Return to Compliance Certification form to the EHD with a statement <br /> documenting the corrective actions that have been or will be taken for each violation, and any supporting <br /> paperwork, within 30 days of receiving the complete inspection report. <br /> AFTER THE COMPLIANCE DATE, EHD WILL BILL FOR ALL TIME AND ACTIVITIES ASSOCIATED WITH BRINGING <br /> THIS FACILITY BACK INTO COMPLIANCE- <br /> THIS <br /> OMPLIANCETHIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE <br /> Received by: Date: 1-)-1 O _ k q Inspector: Inspector Phone: <br /> Printed Name and Title: ZUNA BARKER, EH Specialist (209) 953-7311 <br /> FA0013484 PR0517521 SCO02 12/10/2018 <br /> EHD 23-01 Rev.09/28/2018 Page 4 of 4 Underground Storage Tank Program OIR <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />