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SAN J O A Q U I N Environmental Health Department <br /> Underground Storage Tank Program Inspection Report <br /> Facility Name: Facility Address: Date: <br /> LOVE'S COUNTRY STORES OF CALIF#223 1 1553 COLONY RD, RIPON August 09, 2018 <br /> Please be aware that as of January 1. 2014, facility operators are required to upload the following UST program <br /> documents into the California Environmental Reporting System (CERS): UST Monitoring Site Plan, UST <br /> Certification of Financial Responsibility, UST Response Plan, UST Letter from Chief Financial Officer(if <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 /> AFTER THE COMPLIANCE. GATE. EHD WILL BILL FOR ALL TIME AND ACTIVITIES ASSOCIATED WITH BRINGING <br /> THi3 tACiLITY BACK INTO COMPLIANCE, <br /> THIS FACMTV IS SUBJECT TC) RciiV3PECTI0N AT ANY TIME AT EHD'S CURRENT HOURLY RATE. <br /> Received by: Dote: August 09, 2018 Inspector. Inspector Phone: <br /> Printed Name and Title: AARON HANG. RENS (209)468-3453 <br /> FA0012659 PRO616526 SCO01 08/09/2018 <br /> EHD 23-01 Rev.10!312017 Page 4 of 4 Underground Storage Tank Program OIR <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209468-3420 F 209464-0138 1 www.sjcehd.com <br />