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SAN J O A Q U I N Environmental Health Department <br /> CC)U ,N I Y <br /> Underground Storage Tank Program Inspection Report <br /> Facility Name: Facility Address: FDat,-.Super Store Industries-Grocery Division 16888 McKinley Ave, Lathrop ber 09, 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 /> * Note: The annual monitoring system certification testing conducted on 10/09/2023 were incomplete. The <br /> Service Technician Veeder root(Monitoring panel) certification expired on 10/05/2023. The monitoring panel <br /> and associated sensors need to be tested and certified before 10/31/2023. <br /> Immediately schedule these test and provide 48 hours notification to the EHD. Please be aware that all EHD <br /> staff time associated with a follow up inspection will be billed at our current hourly rate ($162). <br /> To minimize person to person contact EHD is choosing to write the name of person receiving the report instead <br /> of having them sign. Starting September 1, 2018, all in-office CERS help will be provided at EHD hourly rate <br /> ($162). To schedule an appointment, please call (209)468-3420. <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: October 09, 2023 Inspector: Inspector Phone: <br /> Printed Name and Title: PAUL NSO, EH Specialist (209)616-3049 <br /> E mail report to: Jamie Lima, Environmental Contact. <br /> FA0003833 PR0232523 SCO01 10/09/2023 <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 />