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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 /> Yosemite Avenue Arco AmPm 1 1711 E Yosemite Ave, Manteca June 30, 2017 <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 complete 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 by: Date: June 30, 2017 Inspector: Inspector Phone: <br /> A,e4-4, Printed Name and Title: JOHN ALANIZ, EHS Trainee (209)468-3147 <br /> Jesse Chadda,Vice President <br /> FA0003612 PR0231455 SC333 06/30/2017 <br /> EHD 23-01 Rev.09/22/16 Page 4 of 4 Underground Storage Tank Program OIR <br />