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SAN <br /> J D �� I Environmental Health Department <br /> COUNTY— <br /> Underground <br /> OU T — <br /> Underground Storage Tank Program Inspection Report <br /> Facility Name: Facility Address: Date: <br /> AISLE 1 #2356 4219 E MORADA LN, STOCKTON July 09, 2019 <br /> Overall Inspection Comments: <br /> The monitoring system certification was conducted on 7/9/2019 and was not fully witnessed by EHD. Looked <br /> inside all sumps and UDCs. Verified sensor locations and piping communication. Verified spill bucket 5 gallon <br /> capacity. <br /> An inspection checklist was provided to the facility operator on the day of inspection. The EHD has written the <br /> complete report which replaces the initial checklist. <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, within 30 days of receiving the complete inspection report. <br /> Documents provided: <br /> -Return to compliance certification <br /> -EHD class schedule <br /> -Certification of Financial Responsibility Form <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: July 09, 2019 Inspector: Inspector Phone: <br /> Printed Name and Title: SHEWIT WOLDEAREGAY, EHS Trainee (209)468-0216 <br /> cindy chheng, manager <br /> FA0016523 PR0524617 SCO01 07/09/2019 <br /> EHD 23-01 Rev.09/28/2018 Page 6 of 6 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 />