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I <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.sigov.org/ehd <br /> �? �r � �Ur��erg�o�Ul�ddS�oragTa�nk�„Pr`�"�rar�-`��Ispe�tioh`,�epor>� I� <br /> .` w�r � trv,... �'.;sj�,.,- .7aa1 t. x _.t. •t zi. )2 <br /> G'. 7 .i... .¢o.a.m,..t: fi.r._ 4 •'Exl .,N�+r.#�*SIR.Jh+.. ,. <br /> Facility Name: Facility Address: pate: <br /> FOOD LESS FUEL CENTER" 3408 MANTHEY RD, STOCKTON February 18,2015 !3 <br /> paperwork, by 3/20/2015. <br /> Consent to perform the inspection, take photos and collect samples was given by Gilbert Silva, Haz Mat <br /> I <br /> Environmental Coordinator. This facility's designated operator is Karen Arnaiz([CC expiration date: 5/2015) . <br /> The service technician was Kris Bell (ICC expiration date: 9/2016), who had the following manufacturer's <br /> certifications:V/R 3/2018, VMI 11/2016. <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 /> t <br /> D WITH <br /> i <br /> i <br /> 1=9177 By 1HE ABOVE NOTED DATES WILL BE BILLED AT THF CE <br /> TY IS SUBJECT TO REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE <br /> Rec r Title: Date: <br /> ,ecelv rinted name): Inspector: Inspector Phone: <br /> MICHELLE HENRY,Senior R9KS (209)468-3454 I <br /> c/ <br /> Page 4 of 4 <br /> E4 <br /> f <br /> c <br /> t <br />