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WW San Joaquin CountyA ARE , <br />Environmental Health Department <br />1868 East Hazelton Avenue, Stockton, California 95205-6232 MFY-7;�� <br />Telephone: (209) 468-3420 Fax: (209) 468-3433 Web: www.sjgov.org/ehd <br />< ;nderg ound Drag n <br />Facility Name: Facility Address: Date: <br />H&M - BW #98 2501 JACKSON AVE ESCALON July 29 2015 <br />CIASS 1, C SII, or <br />Item # <br />Remarks <br />323 <br />CCR 2636(f)(2) Leak detector failed to detect a 3.0 gph leak at 10 psi. <br />The Diesel line leak detector failed to detect a leak when tested. All line leak detectors shall be capable of detecting <br />a 3-gallon per hour leak at 10 psi. The leak detector was replaced and retested during the inspection. A "UST Retrofit <br />Verification with Inspector Already Onsite" form has been completed and provided to the operator and contractor. <br />This is a minor violation. <br />Overall Inspection Comments: <br />This is an amended report that supersedes all previously issued reports for this inspection. <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 September 3, 2015 . <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 />NOTES: <br />- Provided UST Retrofit with Inspector Already Onsite for replacing diesel leak detector. <br />- Verified all sensors at lowest point. <br />- Provided RTC. <br />ALL EHD STAFF TIME ASSOCIATED WITH FAILING TO COMPLY BY THE ABOVE NOTED DATES WILL BE BILLED AT THE CURRENT HOURLY RATE. <br />THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE. <br />Received By <br />Received By (printed name and title): <br />Date: <br />(signature): <br />Nofal Mohsin, Cashier <br />Inspector ✓1 <br />Inspector (printed name and title): <br />Inspector Phone: <br />(signature): <br />FATINAH ZAREEF, REHS <br />(209) 953-7311 <br />U Page 5 of 5 <br />