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SAN JOAQUIN COUNTY <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.ora/ehd/unitiii.htmi <br /> CONTINUATION FORM Page: 3 of 3 <br /> REPORTOFFICIAL INSPECTION Date: 06/15/10 <br /> Facility Address: 1532 N. Broadway Program: UST <br /> SUMMARY OF VIOLATIONS <br /> CLASS I CLASS M or MINOR-Notice to Comply) <br /> This is a routine UST inspection. Witnessed passing of annual UST monitoring certification. <br /> No violation was observed during this inspection. <br /> Submit a copy of the technician's certification of manufacturer's training to this office within 24 hours. <br /> Please be aware that a current certification of manufacturer's training of the technician is required in <br /> order for this office to accept the annual UST monitoring certification conducted today. <br /> ALL EHO STAFF TIME ASSOCIATED VATH FAILING TO COMPLY BY THE ABOVE NOTED DATES VALL BE BILLED AT THE CURRENT HOURLY RATE(=115). <br /> THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TM AT EHD'S CURRENT HOURLY RATE. <br /> EHD Inspector: � ^ � Received By: Title: <br /> EHD 23-02-003 Rev 101/10 r CONTINUATION FORM <br />