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S A J OAQ U I Environmental Health Department <br /> �. 0U N TY— <br /> Underground Storage Tank Program Inspection Report <br /> Facility Name: Facility Address: Date: <br /> AM PM HAMMER/15 FOOD#83113 3250 W HAMMER LN, STOCKTON May 30, 2019 <br /> SUMMARY OF VIOLATIONS <br /> (CLASS I,CLASS II,or MINOR-Notice to Comply) <br /> Item# Remarks <br /> Overall Inspection Comments: <br /> An inspection report was provided to the facility operator on the day of inspection. The report was amended by <br /> the EHD. The amended report replaces the initial report. All violations remain the same. <br /> The monitoring system certification was conducted on 5/30/19 and was not witnessed by EHD in its entirety. <br /> Looked inside all sumps and UDCs. Verified sensor locations and piping communication. According to the <br /> technician, all equipment passed. The paperwork inspection was completed on 6/12/2019. A complete report <br /> was provided at that time. <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 November 10, 2019. <br /> Starting September 1, 2018, all in-office CERS help will be provided at EHD hourly rate($152).To schedule an <br /> appointment, please call (209) 468-3420. <br /> Documents provided: Return to Compliance Certification form, schedule of free CUPA classes <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 EHD'S CURRENT HOURLY RATE <br /> Received by: Date: Inspector: Inspector Phone: <br /> Printed Name and Title: PAUL NSO, EHS Trainee (209)468-3432 <br /> FA0001877 PR0232224 SCO01 05/30/2019 <br /> EHD 23-01 Rev.9/20/2019 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 />