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SAN 10 A Q U I N Environmental Health Department <br /> - C G u IN f Y----- <br /> Underground Storage Tank Program Inspection Report <br /> Facility Name: Facility Address: <br /> ARCO 07049 Date: <br /> 800 E Kettleman Ln, Lodi December 15, 2017 <br /> Documents reviewed: Monitoring System Certification report, Secondary Containment Testing report, Employee <br /> training, monitoring plan, response plan, financial documents, operating permit, maintenance records, <br /> designated operator monthly reports, alarm histort, alarm logs. <br /> Documents received by operator: Return to Compliance Certification Form <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 /> FREE ' <br /> DEC 222017 <br /> r.NVIRONMENTAL HEALTH <br /> DEPARTMENT <br /> >FTER THE COMPLIAI, DATE,EHD WILL BILL FOR ALL TIME AND ACTIVITIES ASSOCIATED WITH BRINGING <br /> THIS FACILITY BACK INTO COMPLIANCE. <br /> THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE. <br /> Received by: Date: <br /> December 15, 2017 Inspector. Inspector Phone: <br /> 12r-- /Ver,. Printed Name and Title: BETTY HO, EH Specialist (2.09)468-3455 <br /> Evelina Carrillo, Manager <br /> FA0003633 PR0231349 SC001 12/15/2017 <br /> EHD 23-01 Rev.10/31/2017 Page 4 of 4 Underground Storage Tank Program OIR <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />