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S A J O A Q U I N Environmental Health Department <br /> CC)UNTY <br /> Underground Storage Tank Program Inspection Report <br /> Facility Name: Facility Address: Date: <br /> ESCALON MINI MART 1097 YOSEMITE AVE, ESCALON December 18, 2020 <br /> Other Violations <br /> 2010 See below Unlisted General violation ❑V ❑R ❑COS <br /> SUMMARY OF VIOLATIONS <br /> (CLASS I,CLASS II,or MINOR-Notice to Comply) <br /> Item# Remarks <br /> Overall Inspection Comments: <br /> The monitoring system certification was conducted on 12/18/20. The paperwork inspection was completed on <br /> 11/4/21. An inspection checklist was provided to the facility operator at the time of inspection. The inspector <br /> will provide a complete report to the facility operator within the next few weeks. <br /> AFTER THE COMPLIANCE DATE, EHD WILL BILL FOR ALL TIME AND ACTIVITIES ASSOCIATED WITH BRINGING <br /> THIS FACILITY BACK INTO COMPLIANCE. <br /> THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE. <br /> Received by: Date: November 04, 2021 Inspector: Inspector Phone: <br /> Printed Name and Title: STACY RIVERA, Lead Senior REHS 0- <br /> Emailed to Balwinder Singh, <br /> FA0000279 PR0231497 SCO01 12/18/2020 <br /> EHD 23-01 Rev.9/20/2019 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 />