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ED <br /> R1 <br /> San Joaquin County AN 14 2016MUM <br /> Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, California (WMENTAL <br /> Telephone: (209)468-3420 Fax:(209)468-3433 We F ryrts ()u.bNT <br /> Aboveground Petroleum Storage Act Inspection Report <br /> Facility Name: Facility Address: TDate: <br /> Lawrence Livermore National Lab-Site 300 15999 W CORRAL HOLLOW RD Trac 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 Systerr <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 CURRENI HOURLY RATE <br /> THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE <br /> Received By �A Received By(printed name and title): Date: <br /> /v( <br /> (signature): a/ John Scott, Site Manager <br /> Inspector Inspector(printed name and title): Inspector Phone: <br /> (signature STACY RIVERA, Senior REHS (209)468-3440 <br /> Page 6 of 6 <br />