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SAN 10 A Q U I N Environmental Health Department <br /> COUNTY <br /> Underground Storage Tank Program Inspection Report <br /> Facility Name: Facility Address: Date: <br /> Yosemite Avenue Arco AmPm 1711 E Yosemite Ave, Manteca June 05,2018 <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, by July 7th, 2018. <br /> Documents provided: return to compliance certification form. <br /> Documents reviewed: Monitoring system certification testing report 2015, 2016 and 2017, Secondary <br /> Containment Testing report 2017, Employee training log, designated operator monthly reports, alarm history and <br /> alarm logs, financial responsibility, letter from chief financial officer, operating permit, monitoring plans, <br /> response plan. <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 Letter from Chief Financial Officer(if <br /> applicable), and the Owner Statement of Designated Operator Compliance. The UST Owner/Operator: Written <br /> Agreement, if applicable, can be stored at the facility or uploaded into CERS. <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 05, 2018 Inspector: Inspector Phone: <br /> Printed Name and Title: ZUNA BARKER, EH Specialist (209)953-7311 <br /> Ajaypal Singh, Manager <br /> FA0003612 PR0231455 SCO01 06/05/2018 <br /> EHD 23-01 Rev.1 0/3112 01 7 Page 5 of 5 Underground Storage Tank Program OIR <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />