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San Joaquin County <br /> Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, California 95205-6232 <br /> Telephone:(209)468-3420 Fax:(209)468-3433 Web:www.sogov.org/ehd <br /> Underground Storage Tank Program Inspection Report' <br /> Facility Name: Facility Address: Date: <br /> TIWANA GAS&FOOD 1210 E HAMMER LN, STOCKTON June 26,2017 <br /> An inspection was done on 6/26/17 and an inspection report was provided at the time of inspection. The <br /> inspection report was amended on 12/11/17, now noting violation 111, which indicates that testing on the 91 line <br /> leak detector is over 5 months passed due. <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 January 10, 2018. <br /> Please be aware that as of January 1, 2014, facility operators are required to upload the following UST program <br /> documents into the California Environmental Reporting System (CERS): UST Monitoring Site Plan, UST <br /> Certification of Financial Responsibility, UST Response Plan, UST Letter from Chief Financial Officer(if <br /> applicable), and the Owner Statement of Designated Operator Compliance. The UST Owner/Operator: Written <br /> Agreement, if applicable, can be stored at the facility or uploaded into CERS. <br /> Note: The 91-product line leak detector was not tested on 6/26/17 due to the 91-primary product line awaiting <br /> repair. <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 EHUS CURRENT HOURLY RATE. <br /> Received by: Date: June 26, 2017 Inspector: Inspector Phone: <br /> Printed Name and Title: ELIANNA FLORIDO, EHS Trainee (209)468-0343 <br /> Jesse Tiwana, Owner <br /> FA0003730 PR0231125 SC001 06/26/2017 <br /> EHD 23-01 Rev.09/22/16 Page 5 of 5 Underground Storage Tank Program OIR <br />