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�U A U IN <br />Environmental Health Department <br />EHb 23-01 Rev. 09/28/2018 <br />Page 4,of d <br />FA0004051 PR0231522 'SC001 05120/2019 <br />Underground Storage -Tank Program OIR <br />1868'E. Hazelton Avenue ( Stockton, California. 95205 (T 209 468-3420 (F 209'464=0138 (www.sjcehd.com. <br />Facility Name: <br />Facility Address: <br />Date: <br />UPS - Stockton <br />1532 N BroadwayAve Stockton <br />Ma 20 .201.9 <br />k cEN fCON-004; s a:,a. '. a YS�7j'OWNRa, M . : '�^ : �5 <br />IN <br />2010 <br />See below <br />Unlisted General violation <br />6V o R o COSt <br />F�r' .`moi X'Sc i r F �F S[ -G ice` --r.• W v1.y� . Y ^�/.Q-y4. Y^ is '^^ Jx 4• �s� � `s�> <br />e <br />Y R}^�i"� � <br />ap �� .4v�� `'e5 � •$� ;�/{-SN��i +',�}'�ipa`ppp��Q�v � M ��p, <br />�� <br />/� .q .t <br />iQrii <br />Item <br /># <br />Remarks <br />Overall Inspection Comments. <br />An inspection checklist was provided to the facility operator at the tirime of inspection. The EH D will generate and <br />proVidej a complete report to the facility operator. <br />Complete and submit a copy of the Return to Compliance Certification form to the E'HD with a statement <br />documenting the corrective actions, that have been or will betaken for each violation, and any supporting. <br />paperwork, within. 30 days of receiving the complete inspection report. <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: May 20, 2019 <br />Inspector: <br />Inspector Phone: <br />Printed Nameand Title: <br />STACY RIVERA, Senior RENS <br />(209} 468-3440 <br />nnifer Trigos, District Environmental Coordinator <br />EHb 23-01 Rev. 09/28/2018 <br />Page 4,of d <br />FA0004051 PR0231522 'SC001 05120/2019 <br />Underground Storage -Tank Program OIR <br />1868'E. Hazelton Avenue ( Stockton, California. 95205 (T 209 468-3420 (F 209'464=0138 (www.sjcehd.com. <br />