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Environmental Health Department <br />CP22 - AST Non-Qualified Inspection Report <br />Date: <br />October 21, 2024 <br /> Facility Address: <br />1002 FRONTAGE RD, RIPON <br /> Facility Name: <br />GAS & SHOP <br />□ OUT □ R □ COS4045 - Release/Leaks/Spills - General Local Ordinance 86 <br />□ OUT □ R □ COS4050 - Abandonment/Illegal Disposal/Unauthorized Treatment - General See below 87 <br />□ OUT □ R □ COS4055 - Abandonment/Illegal Disposal/Unauthorized Treatment - General Local Ordinance 88 <br />SUMMARY OF VIOLATIONS <br />(CLASS I, CLASS II, or MINOR - Notice to Comply) <br />RemarksItem # <br />Overall Inspection Comments: <br />An inspection checklist was provided to the facility operator on 10/22/2024. <br />The inspector will provide 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 documenting the <br />corrective actions that have been or will be taken for each violation, and any supporting paperwork, within 30 days of <br />receiving the complete inspection report. <br />Tom Saberi, <br />Operator/Partner <br />October 21, 2024 <br />(209) 616-3067Printed Name and Title: <br /> Date: Inspector: <br /> Lynsey Sammons, EHS <br /> Inspector Phone: Received by: <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 />FA0000650 PR0516198 SC001 10/22/2024 <br />EHD Rev. 12/06/2021 CP22 - AST Non-Qualified OIRPage 5 of 5 <br />1868 E. Hazelton Avenue | Stockton, California 95205 | T 209 468-3420 | F 209 464-0138 | www.sjgov.org/EHD