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SiAAN '�OAQUIN • • Environmental Health Department <br /> H <br /> - ---C0UN`T'Y- <br /> �' Underpin#StoragT aRrog_ram Ins action Report <br /> t ?. rte. <br /> Facility Name: Facility Address: Date: <br /> ARCO 02093 3425 TRACY BLVD, TRACY August 30,2018 <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: August 30,2018 Inspector: Inspector Phone: <br /> Printed Name and Title: ZUNA BARKER, EH Specialist (209) 953-7311 <br /> Iqbal Bains, Franchisee <br /> FA0003627 PR0231416 SCO01 08/30/2018 <br /> EHD 23-01 Rev.10/31/2017 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 />