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Ask <br />San Joaquin County VV <br />Environmental Health Department <br />1868 East Hazelton Avenue, Stockton, California 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 468-3433 Web: www.sjgov.or./q ehd <br />Underground Storage Tank Program Inspection Report <br />Facility Name: <br />cility Address: <br />T401 <br />Date: <br />USA GAS STATION t68152" <br />W KETTLEMAN LN, LODI <br />February 18, 2015 <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 />ALL EHD STAFF TIME ASSOCIA7ED WITH FAILING TO COMPLY By THE ABOVE N07ED DATES WILL BE BILLED AT THE CURRENT HOURLY RATE <br />TIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE <br />Receiv i n <br />Title: <br />Date: <br />R y nted-name): <br />Inspec or: <br />Inspector Phone: <br />C/ e / '�'— <br />ARTS VELOSO, Senior REHS <br />(209) 468-3453 <br />Page 4 of 4 <br />