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San Joaquin County <br /> Environmental Health Department (0 (5 <br /> 1868 East Hazelton Avenue, Stockton, California 95205-6232 <br /> Telephone: (209)468-3420 Fax: (209)468-3433 Web:www.sjgov.org/ehd <br /> Aboveground Petroleum Storage Act Inspection Report <br /> Facility Name: Facility Address: Date: <br /> Lawrence Livermore National Lab- Site 300 1 15999 W CORRAL HOLLOW RD Tracv September 30 2015 <br /> Please be aware as of January 1, 2013, all businesses are required to submit all new(or any changes to existing) <br /> Aboveground Petroleum Storage Act (APSA) information online to the California Environmental Reporting SysterT <br /> (CERS) at http://cers.calepa.ca.gov in addition to any other relevant activities and required fields. No later than <br /> January 1, 2014, all APSA data must be entered and or updated in CERS. <br /> Provided: Return to Compliance Certification form <br /> ALL EHD STAFF TIME ASSOCIATED WITH FAILING TO COMPLY BY THE ABOVE NOTED DATES WILL BE BILLED AT THE CURRENT HOURLY RATE <br /> THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE <br /> Received ByA Received By(printed name and title): Date: <br /> (signature): 1 a-'O"Le John Scott, Site Manager <br /> Inspector Inspector(printed name and title): Inspector Phone: <br /> (signatur€ STACY RIVERA, Senior RENS (209)468-3440 <br /> Page 6 of 6 <br />