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SAN J O A Q U I N Environmental Health Department <br /> C_ ( ) LJ N I Y <br /> Underground Storage Tank Program Inspection Report <br /> Facility Name : Facility Address : Date: <br /> BILLJAR VALERO 153 E ELEVENTH ST , TRACY January 19 , 2023 <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 /> An inspection checklist was provided to the facility operator at the time of inspection . The inspector will provide <br /> a complete report to the facility operator within the next few weeks . <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 /> 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 END' S CURRENT HOURLY RATE . <br /> Received by : Date: Inspector: Inspector Phone: <br /> tI � , SHEWIT WOLDEAREGAY , EH Specialist 209 616-3063 <br /> Printe Na a and Title: p <br /> IL�� SN I <br /> FA0003709 PR0231389 SCO01 01 /19/2023 <br /> EHD 23-01 Rev. 12/06/2021 Page 4 of 4 Underground Storage Tank Program OIR <br /> 1868 E . Hazelton Avenue Stockton , California 95205 1 T 209 468-3420 F 209 464-0138 1 www . sjgov . org/ EHD <br />