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S0 JOA U 1 Environmental Health Department <br /> U ;� i Y I <br /> Underground Storage Tank Program Inspection Report <br /> Facility Name: Facility Address: Date: <br /> STOCKTON MOBIL 3* 2358 E WATERLOO RD, STOCKTON April 02, 2020 <br /> On site on 4/2/20 for the monitoring system certification only. Looked inside all sumps and UDCs. Verified no <br /> liquid in sumps. Verified proper sensor positioning. Verified spill bucket 5 gallon capacity. Witnessed sensor <br /> functionality testing. All test boots are pulled back. Filters and piping are contained by UDCs. <br /> Paperwork inspection was conducted on 6/30/20. A complete report was provided at that time. <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, by July 29, 2020. <br /> To minimize person to person contact EHD is choosing to write the name of person receiving the report instead <br /> of having them sign. <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: June 30, 2020 Inspector: Inspector Phone: <br /> Printed Name and Title: STACY RIVERA, Lead Senior REHS (209)468-3440 <br /> Cristal Sandobal, Cashier <br /> FA0006343 PR0231756 SCO01 04/02/2020 <br /> EHD 23-01 Rev.9/20/2019 Page 6 of 6 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 />