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06/03/2015 10:15 8387674 EMILS PAGE 05 <br /> San Joaquin County <br /> Environmental Health Department JUN 0 3 2015 <br /> 1868 East Hazelton Avenue, Stockton, California 95205-6232 <br /> Telephone:(209)468-3420 Fan:(209)468-3433 Web:www.sjgov.oroleNVIRON <br /> MENTAI <br /> CDn DY1#CHIT, . <br /> Underground Storage Tank Program inspection:Repan <br /> Facility Name. Facility Address: Data: <br /> FMILS LIQUOR&SPORTS SHOP" 1405 CALIFORNIA ST ESC L N Mav 06. 2015 <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 OwneriOperator� Written <br /> Agreement, if applicable, can be stored at the facility or uploaded into CERS. <br /> NOTE: An electrical splice, located outside the J-box, was noted on the annular sensor cable. The interstitial <br /> space shall be monitored with a monitoring system connected to an audible and visual alarm system. Contact the <br /> local fire department to determine if a sensor repair/replacement is needed to remedy this installation issue. if a <br /> sensor replacement or repair is necessary, contact a properly licensed, trained, and certified contractor to replace <br /> the noted component with a functional component(LG 113-x listed, if applicable) under permit and inspection of thF <br /> EHD. <br /> ALL EHO FTIME ASSOCIM ED WITH FAILINGT COMPLY BY THEABOVE N ES WjLL BE BILLED AT TME—CURRENT RATE <br /> THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT EHO'S CURRENT HOURLY RATE <br /> Received By Received By(printed name and title): Date: <br /> (signature): Pam Fielder, Office Manager <br /> Inspector Inspector(printed name and title): Inspector Phone: <br /> (signature): FL.ENA M.ANZO, REHS (209)953-7699 <br /> Page 5 of 5 <br />