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w San Joaquin County "'" l l- <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 />Facility Name: Facility Address: Date: <br />GAS DEPOT #2 1 1330 E YOSEMITE AVE, MANTECA December 30, 2014 <br />Overall Inspection Comments: <br />THIS IS A REVISED REPORT ISSUED ON JANUARY21, 2015 AND IT SUPERSEDES ALL PREVIOUSLY <br />ISSUED REPORTS. VIOLATION 109, FOR THE PAST DUE SECONDARY CONTAINMENT TESTING, WAS <br />ADDED TO THE PREVIOUSLY ISSUED INSPECTION REPORT WHICH WAS LEFT ONSITE AT THE TIME OF <br />INSPECTION. <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 January 29, 2014. <br />Consent to perform the inspection, take photos and collect samples was given by Mr. Kevin Hur. This facility's <br />designated operator is Robert Barnhart (ICC expiration date: February 1, 2016) . The service technician was <br />Guadalupe Sanchez (ICC expiration date: April 20, 2015), who had the following manufacturer's certifications: <br />VR- November 7, 2015, and VMI- May 12, 2015. <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 />THIS FACI <br />By (signature): <br />RRENT HOURLY RA' <br />Date: <br />Received By (printed name): Inspector: Inspector Phone: <br />ELENA MANZO, REHS 1 A � (209) 953-7699 <br />Page 5 of 5 <br />