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AUC <br />121n illy <br />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.sj_ og v.or_/g ehd <br />Underground Storage Tank Program Inspection Report <br />Facility Name: <br />Facility Address: <br />Date: <br />ARCO STATION #826951' <br />130 S WILSON WAY, STOCKTON <br />January 12, 2016 <br />On site to conduct a routine underground storage tank (UST) inspection and witness the annual monitoring <br />system certification testing. <br />An inspection report was provided to the facility operator on the day of inspection. The report was amended by <br />the EHD. The amended report replaces the initial report. <br />Complete and submit a copy of the Return to Compliance Certification form to the EHD with a statement <br />documenting the corrective actions that have been or will be taken for each violation, and any supporting <br />paperwork, within 30 days of receiving the amended inspection report. <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 B <br />'�I <br />Received By (printed name and title): <br />Parminder Mashiana, secretary <br />Date: <br />(signature): <br />Inspector <br />Inspector (printed name and title): <br />Inspector Phone: <br />(signature):A - WA <br />ARIS VELOSO, Senior REHS <br />(209) 468-3453 <br />Page 6 of 6 <br />