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SAN <br /> Q U I "II411 Environmental Health Department <br /> COUNTY <br /> Underground Storage Tank Program Inspection Report <br /> Facility Name: Facility Address: Date: <br /> ARCO 02093 3425 TRACY BLVD,TRACY <br /> August 26 2019 <br /> Single-Walled Non-Pressurized Piping <br /> 404 CCR 2643(e),2661(f) Biennial 0.1 gph line integrity test for single-walled gravity piping not performed(pre-Jan 1984) ❑V ❑R ❑COS <br /> Other Violations <br /> 2010 See below Unlisted General violation ❑V ❑R ❑COS <br /> SUMMARY OF VIOLATIONS <br /> (CLASS I,CLASS II,or MINOR-Notice to Comply) <br /> Item# Remarks <br /> Overall Inspection Comments: <br /> 'There were no violations noted at the time of the inspection. <br /> NOTE: Please note that the Certification of Financial Responsibility will need to be updated soon, the document is <br /> going to expire on 10/30/2019. <br /> Documents provided: <br /> -EHD class schedule <br /> AFTER THE COMPLIANCE DATE, EHD WILL BILL FOR ALL TIME AND ACTIVITIES ASSOCIATED WITH BRINGING THIS <br /> FACILITY BACK INTO COMPLIANCE. <br /> THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE. <br /> Received by: Date: August 26, 2019 Inspector: Inspector Phone: <br /> Printed Name and Title: SHEWIT WOLDEAREGAY, EH Specialist (209)468-0216 <br /> iqbal bains, Operator <br /> FA0003627 PR0231416 SCO01 08/26/2019 <br /> EHD 23-01 Rev.09/28/2018 Page 4 of 4 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 />