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0 SAN JOAQUIN COUNTY 0 <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.org/ehd/unitiii.html <br />CONTINUATION FORM <br />Page: 3 of 3 <br />OFFICIAL INSPECTION REPORT <br />Date: 05/03/11 <br />Facility Address: AT&T 124 W. Elm St. Lodi, CA 95240 <br />Program: UST <br />SUMMARY OF VIOLATIONS <br />CLASS 1, CLASS 11, or MINOR -Notice to Comply) <br />On site to witness the monitoring system certification and conduct the routine inspection. <br />No violations noted at time of inspection. <br />Note: <br />Secondary containment test is due by December 2011. <br />Last monitoring system certification performed 5-18-10. <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 HD'S CURRENT HOURLY RATE. <br />EHD Inspect <br />W ()�L <br />Rete' By: <br />N>'W'0_Cz) " <br />Title: <br />6jiffl, &,-r PAAAQf, <br />v — v j <br />EHD 23-02-003 Rev 08/10/10 CONTINUATION FORM <br />