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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.sigov.org/ehd <br /> Underground Storage Tank Program Inspection Report <br /> Facility Name: Facility Address: Date: <br /> ARP MINI MART CORP 25775 S PATTERSON PASS RD, TRACY March 31, 2017 <br /> Overall Inspection Comments: <br /> On site to complete the annual monitoring system certification(MSC) testing that was initially begun on March <br /> 27, 2017. Complete and submit a copy of the Return to Compliance Certification form to the EHD with a <br /> statement documenting the corrective actions that have been or will be taken for each violation, including <br /> violations reported from the March 27, 2017 inspection, and any supporting paperwork, by April 30, 2017. <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 /> AFTER THE COMPLIANCE DATE, EHD WILL BILL FOR ALL TIME AND ACTIVITIES ASSOCIATED WITH BRINGING <br /> THIS FACILITY BACK INTO COMPLIANCE- <br /> THIS <br /> OMPLIANCETHIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE <br /> Received by: Date: March 31, 2017 Inspector: Inspector Phone: <br /> Printed Name and Title: VICKI MCCARTNEY, Senior REHS (209) 468-9852 <br /> Ron Patel, Manager <br /> FA0003619 PR0231708 SC333 03/31/2017 <br /> EHD 23-01 Rev.09/22/16 Page 4 of 4 Underground Storage Tank Program OIR <br />