Laserfiche WebLink
0 SAN JOAQUIN COUNTY q) <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />600 East Main Street, Stockton, California 95202-3029 <br />Telephone: (209) 468-3420 Fax: (209) 468-3433 Web: www.sigov.orq/ehd/unitiii.htmi <br />CONTINUATION FORM <br />Page: Sof 5 <br />OFFICIAL INSPECTION REPORT <br />Date: <br />Facility Address: 1097 Yosemite Avenue, Escalon <br />Program: UST <br />SUMMARY OF VIOLATIONS <br />(CLASS I, CLASS II, or MINOR -Notice to Comply) <br />UST Inspection Report <br />Notes <br />A copy of the return to compliance certification must be submitted to this office with a statement as to <br />how each violation was corrected with the supporting document within 30 days of receiving this report. <br />Provided Facility and Tank forms, Monitoring and Response Plan Forms, and Financial Responsibility <br />forms. <br />Provided information regarding free UST operators class. <br />ALL EHD STAFF TIME ASSOCIATED WITH FAILING TO COMPLY BY THE ABOVE NOTED DATES WILL BE BILLED AT THE CURRENT HOURLY RATE ($122). <br />THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT END'S CURRENT HOURLY RATE. <br />EHD Inspector. <br />10 J�� <br />Received By: <br />Title: �, L , i� ✓ <br />EHD 23-02-003 Rev 08/10/10 CONTINUATION FORM <br />