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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.sjgov.ory/ehd <br /> Underground Storage Tank Program Inspection Report <br /> Facility Name: Facility Address: Date: <br /> ARCO STATION#826951' 1 130 S WILSON WAY, STOCKTON January 15, 2015 <br /> Completed update of CERS information with Parmjit during this inspection. <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 Owner/Operator: Written Agreement(if <br /> applicable), UST Letter from Chief Financial Officer, and Owner Statement of Designated UST Operator <br /> Compliance. <br /> ALL EHD STAFF TIME ASSOCIATED WITH FAILING TO COMPLY BY THE ABOVE NOTED DATES WILL BE BILLED AT THE CURRENT HOURLY RATE <br /> RIYEATE <br /> Received By(signature): Title: --rr// Date: / <br /> � � d" I (/5 avid <br /> Received By(printed name): Inspector: Inspector Phone: <br /> ✓� jy1 ) S A JEFFREY WONG, Senior REHS 1`.1�& (209)468-0335 <br /> Page 4 of 4 <br />