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SAN J O A Q U I N Environmental Health Department <br /> CC)U ,IN I Y <br /> Underground Storage Tank Program Inspection Report <br /> Facility Name: Facility Address: Date: <br /> SAFEWAY FUEL CENTER#0055 19533 S MOUNTAIN HOUSE PKWY, MOUNTAIN September 23, 2022 <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 /> Witnessed final sensor functionality test for installation on SR0083832 -see service request inspection reports <br /> 9/15/2022, 9/23/2022, 9/26/2022 for additional information. <br /> Facility is next due for routine monitoring system certification and spill container testing in September 2023. <br /> Leslie Henderson <br /> ICC: 03/28/2023 <br /> OPW: 10/15/2022 <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: November 03, 2022 Inspector: Inspector Phone: <br /> Printed Name and Title: CAROL PRESTO, REHS (209)616-3061 <br /> Emailed to Keith Powers, Environmental Compliance Manage <br /> FA0027204 PR0547762 SCO01 09/23/2022 <br /> EHD 23-01 Rev.12/06/2021 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.sjgov.org/EHD <br />