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San Joaquin County <br /> Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, California95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209) 468-3433 Web:www.sigov.org/ehd <br /> Underground Storage Tank Program Inspection Report <br /> Facility Mame: Facility Address: Date: <br /> arch 31, 2016 <br /> _appiicabie/, r, the Owner Statement of Designated Operator Compliance. The UST Owner/Operator: Writtei t <br /> Agreement, ii 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 TH <br /> FACILITY BACK INTO COMPLIANCE <br /> THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE <br /> Received by: Date: tkdgInspector: Inspector Phone: <br /> Printed Name and Title: RIS VELOSO. Senior REHS 1 468-341: <br /> k v�vY. <br /> �04 i <br /> Page 4 of 4 <br />