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San Joaquin County <br /> Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, California95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209) 468-3433 Web:www.sigoy.org/ehd <br /> Underground Storage Tank Program Inspection Report <br /> Facility Name: Facility Address: Date: <br /> MORADA CHEVRON FAST N EASY*50* 1 10878 N HWY 99 , STOCKTON Aril 25, 2016 <br /> Certification of Financial Responsibility, UST Response Plan, UST Letter from Chief Financial Officel(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 /> NOTES: <br /> - Verified all sensors at lowest point <br /> - Provided Return to Compliance Certification <br /> AFTER THE COMPLIANCE DATE, EHD WILL BILL FOR ALL TIME AND ACTIVITIES ASSOCIATED WITH BRINGING THI' <br /> FACILITY BACK INTO COMPLIANCE <br /> THIS FACILITY IS SUBJECT TO REINSjPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE <br /> Received by: Date: `�y n \ Inspector: Inspector Phone: <br /> Printed Name and Title: FATINAH ZAREEF. REHS (209) 953-7311 <br /> Page 5 of 6 <br />