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Environmental Health Department <br />AMENDED <br />5/30/2024 <br />Aboveground Petroleum Storage Act Inspection Report <br />Date: <br />May 15, 2024 <br /> Facility Address: <br /> 1728 LINNE RD, TRACY <br /> Facility Name: <br /> CONCRETE INC <br />action statement form, and return to compliance certification form via email <br />Note: As a Tier II qualified facility you have two options: <br />Option 1- A Self Certified Plan-Tier II <br />Option II- A P.E Certified plan. <br />With a P.E certified plan you must prepare an SPCC plan and follow the plan rules. The PE must certify all <br />technical amendments. <br />For option 1, a Self Certified plan you must prepare a Tier II template, review self certify every five years and <br />technical amendments. <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: Inspector Phone: <br /> PAUL NSO, EH Specialist <br /> Inspector:May 30, 2024 Date: <br />Printed Name and Title: <br />E mail to : Michal Brett, Environmental Contact <br />(209) 616-3049 <br />FA0009536 PR0540694 SC001 05/15/2024 <br />EHD 28-01 Rev. 12/06/2021 Aboveground Petroleum Storage Act OIRPage 7 of 7 <br />1868 E. Hazelton Avenue | Stockton, California 95205 | T 209 468-3420 | F 209 464-0138 | www.sjgov.org/EHD