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0 SAN JOAQUIN COUNTY 40 <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />600 East Main Street, Stockton, California 95202-3029 <br />Telephone: (209) 468-3420 Fax: (209) 468-3433 Web: www.s4gov.o[g/ehd/unitiii.htmi <br />CONTINUATION FORM <br />Page: 3 of 3 <br />OFFICIAL INSPECTION REPORT <br />Date: 12/01/10 <br />Facility Address: Unified Grocers Inc 1990 N. Piccoli Road, Stockton <br />Program: UST <br />SUMMARY OF VIOLATIONS <br />CLASS 1 CLASS II, or MINOR -Notice to Comply) <br />UST Inspection: Routine and annual Monitoring System Certification <br />No violations noted at this time <br />Notes: <br />- Received on-site today's MSC, LD, SB test results, Incon printout for SB, monitoring panel set up and <br />alarm history from technician Asa Coby. <br />- Annual Certification of Financial Responsibility and Letter from Chief Financial Officer next due <br />12/2010. Last CFR and Letter from CFO submitted 12/2009 - valid for one year. <br />12- <br />Z- <br />- <br />2/204-1--- <br />Secondary containment last done 02/2009. Next tri -annual testing due by 02/204-1-.- <br />-Designated operator employee training next due 12/2010. Last annual employee training 12/2009. <br />- Provided 2010 schedule for free SJC EHD training. New class schedule for 2011 on SJC EHD website. <br />Recommended courses: Hazardous Waste (HW) Management, Universal Waste Management, Basic <br />Auto Industry HW Management, Aboveground Petroleum Storage Tank/ Spill Prevention Control and <br />Countermeasure course, Underground Storage Tank for operators. <br />ALL EHD STAFF TIME ASSOCIATED WITH FAILING TO COMPLY BY THE ABOVE NOTED DATES WILL BE BILLED AT THE CURRENT HOURLY RATE ($122). <br />THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE. <br />EHD Inspector: <br />R By: <br />- � M� Pw <br />TitlMki� <br />EHD 23-02-003 Rev 08/10 v / <br />CONTINUATION FORM <br />