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Feb, 24, 2015 1 : 14PM No, $436 P, 4 <br /> RECIv <br /> VE6 <br /> San Joaquin County <br /> Environmental Health Department FEB 2 4 2015 <br /> 1868 East Hazelton Avenue,Stockton, California 95205-6232 <br /> Telephone;(209)469-3420 Pax;(209)468-3433 Web:www.sJgov.org/ehd ---NVIRONMEN rA1 <br /> .. KiT <br /> Facility Name: Facility Address: Date. <br /> FOOD 4 LESS FUEL CENTER* 3408 MANTHEY RD, STOCKTON February 18,2015 <br /> paperwork, by 312012015 . <br /> Consent to perform the inspection,take photos and collect samples was given by Gilbert Silva, Haz Mat <br /> Environmental Coordinator. This facility's designated operator is Karen Arnalz(ICC expiration date: 6/2015) . <br /> The service technician was Kris Bell(ICC expiration date: 9/2016),who had the following manufacturer's <br /> certifications:VIR 312016, VMI 1112016. <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 /> D <br /> ,ALL Eb -COMPLY BY-THE <br /> 6 <br /> s <br /> ;i <br /> i <br /> i <br /> E <br /> 2 <br /> k <br /> 2 <br /> 2 <br /> 3 <br /> ABOVE <br /> .WAT I 1E A-5 0 <br /> TY IS SUBJECT TO REINSPECTION AT ANY TIME AT EHf3'8 CURRENT HOURLY RATE <br /> Rec Title: ate: <br /> ec v d-syr_(ptinte name): Inspector: Inspector Phone: <br /> MICHELLE HENRY, Senior R (209)468-3454 <br /> 46 <br /> Page 4 of 4 <br /> k <br /> F <br /> t <br /> ' i <br />