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9 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.sjgov.oro/ehd/unitiii.htmi <br />CONTINUATION FORM <br />Page: 5 of 5 <br />OFFICIAL INSPECTION REPORT <br />Date: 01/30/12 <br />Facility Address: 2575 Country Club Blvd <br />Program: UST <br />SUMMARY OF VIOLATIONS <br />CLASS I, CLASS 11, or MINOR -Notice to Comply) <br />305, 406. The S1 - 87 product line vacuum sensor has been in vacuum alarm since at least 1/1/12 and <br />was in alarm during the inspection. The interstitial space of the UST system shall be maintained, as <br />designed, under constant vacuum such that a breach in the primary or secondary containment is <br />detected before the hazardous substance is released into the environment. Correct immediately by <br />having a properly licensed, trained, and certified contractor replace the failed component with a <br />functional component (LG 113-x listed, if applicable) and obtain a permit within one business day from <br />the EHD. If the failed component can't be replaced/repaired immediately, there is a possibility that the <br />87 product UST system may be red tagged by the EHD to prevent fuel inputs. <br />Notes <br />1. Complete the following by March 3, 2012 and send to the San Joaquin County Environmental Health <br />Department: <br />a. The Return to Compliance Certification form. <br />b. A statement explaining how each violation was corrected. <br />c. Supporting documentation. <br />2. The inspector received the 2012 financial responsibility documents during the inspection. <br />ALL EHD STAFF TIME ASSOCIATED WITH FAILING TO COMPLY BY THE ABOVE NOTED DATES WILL BE BILLED AT THE CURRENT HOURLY RATE. <br />TH Cl!TY IS SUBJECT TO REINS PE ON AT ANY TIME AT EHD'S CURRENT HOURLY RATE. <br />EHD Ins or: <br />ecei Br. <br />Title: <br />FiD2 V vT 2111 /v v v` v V <br />E 3 02- 3 Rev071 CONTINUATION FORM <br />