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San Joaquin County <br />Environmental Health Department <br />1868 East Hazelton Avenue, Stockton, California 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 468-3433 Web: www.sjgov.org/ehd <br />Underground Storage Tank Program Inspection Report <br />Facility Name: <br />Facility Address: <br />Date: <br />VALLEY PACIFIC FRESNO AVE CARDLOCK <br />1524 FRESNO AVE STOCKTON <br />March 12. 2015 <br />applicable), and the Owner Statement of Designated Operator Compliance. The UST Owner/Operator: Written <br />Agreement, if applicable, can be stored at the facility or uploaded into 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 By <br />Received By (printed name and title): <br />Date: <br />(signature): <br />Mike Eliason, Commercial Fueling Mgr. <br />Inspector _ <br />2-- <br />Inspector (printed name and title): <br />Inspector Phone: <br />(signature): 42 C7 <br />STACY RIVERA, Senior REHS <br />(209) 468-3440 <br /><� Page 7 of 7 <br />