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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.sjgov.org/ehd <br /> Underground Storage Tank Program Inspection Report <br /> Facility Name: Facility Address: Date: <br /> KETTLEMAN CHEVRON I , LODI U01 E, Kt.ffl July 22, 2014 <br /> Consent to perform the inspection, take photos and collect samples was given by Harvinder(Tony) Singh, <br /> owner/operator. This facility's designated operator is Alex Jabbari(ICC expiration date: 10/6/14) . The service <br /> technician was Dave Winkler(ICC expiration date: 3/3/16), who had the following manufacturer's certifications: <br /> Veeder-root (expiration date: 2/10/16), VMI (expiration date: 11/10/15). <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 /> Provided: Return to Compliance Certification form <br /> ALL EHD STAFF SOCIATED WITH FAILING TO COMPLY BY THE ABOVE NOTED BILLED AT THE CURRENT HOURLY RATE <br /> THIS,FA Y IS SUBJECT TO REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE <br /> Received By: Title: j/'�� -1/1-3/// <br /> at <br /> et <br /> Inspector. S A `RIVERA, Title: Senior REHS Phone: 209 468-3440 ate: 07/22/2014 <br /> Page 4 of 4 <br />