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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.siaov ora/ehd <br /> Underground Storage Tank Program Inspection Report <br /> Facility Name: Facility Address: <br /> Costco Wholesale#38 Date: <br /> 1616 E Hammer Ln, Stockton March 01, 2018 <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 DATE,EHD WILL BILL FOR ALL TIME AND ACTIVITIES ASSOCIATED WITH BRINGING <br /> THIS FACILITY BACK INTO COMPLIANCE. <br /> Received by: THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE. <br /> Date: March 01, 2018 Inspector: Inspector Phone: <br /> Printed Name and Title: ELIANNA FLORIDO, EHS Trainee (209)468-0343 <br /> Sty Phornsavanh, Gas Station Attendant <br /> FA0001705 PR0518624 SCO01 031011018 <br /> EHD 23-01 Re,09122116 Page 4 of 4 <br /> 9 Underground Storage Tank Program OR <br />