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Environmental Health Department <br />Underground Storage Tank Program Inspection Report <br />Date: <br />April 23, 2018 <br /> Facility Address: <br /> 18806 N LOWER SACRAMENTO RD, <br /> Facility Name: <br /> WOODBRIDGE AM PM* <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 />THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE. <br /> Received by: Inspector Phone: <br /> (209) 468-3453 AARON HANG, REHS <br /> Inspector:April 23, 2018 Date: <br />Printed Name and Title: <br />jessi bola, Manager <br />Page 4 of 4 <br />FA0003607 PR0232388 SC001 04/23/2018 <br />EHD 23-01 Rev. 10/31/2017 Underground Storage Tank Program OIR <br />1868 E. Hazelton Avenue | Stockton, California 95205 | T 209 468-3420 | F 209 464-0138 | www.sjcehd.com