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SAJ O A Q U I I l Environmental Health Department <br /> — <br /> C 0 U N T Y-- <br /> Underground Storage Tank Program Inspection Report <br /> Facility Name: Facility Address: Date: <br /> COUNTRY MARKETPLACE 1789 W CHARTER WAY, STOCKTON June 07 2019 <br /> SUMMARY OF VIOLATIONS <br /> (CLASS I, CLASS II, or MINOR-Notice to Comply) <br /> Item # Remarks <br /> 320 CCR 2635, 2637.2, 2665, 2712 Failure to comply with the installation, inspection, or record keeping of the overfill <br /> prevention. <br /> Overfill prevention testing was conducted on 3/27/19. This test was required to be conducted by October 13, 2018. <br /> Ensure all future test is conducted within required time frames. <br /> This is a Class II violation. <br /> Overall Inspection Comments: <br /> The monitoring system certification was conducted on 3/27/2019 and was not witnessed by EHD. Looked inside <br /> all sumps and UDCs. Verified sensor locations and piping communication. Paperwork inspection was completed <br /> on 6/7/2019. A complete report was provided at that time. <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: 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 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: June 07, 2019 Inspector: Inspector Phone: <br /> O�A Printed Name and Title: SHEWIT WOLDEAREGAY, EHS Trainee (209)468-0216 <br /> Ankush Chowdhary, Cashier <br /> FA0007486 PR0506538 SCO01 06/07/2019 <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 />