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uSta <br />Reasonable Inquiry Certification Form <br />To: File Date: JJune 11, 2020 <br />By signing below, I hereby certify that: <br />1. 1 have physically reviewed any and all documents associated with the regulatory obligations <br />listed below; <br />2. 1 have read all of the associated requirements and conditions for which the certification is <br />being made; <br />3. 1 have made this reasonable inquiry in a timely manner and provided such documentation to <br />the Responsible Official with sufficient time to make an inquiry of the documents he/she is <br />certifying; <br />4. All information contained in the documents to be certified are true and correct to the best <br />of my knowledge; and <br />5. 1 will retain this Reasonable Inquiry Certification Form and all associated documents for the <br />statutory retention period. <br />Responsible Personnel <br />Name: <br />Name• <br />0'IX( 17-W <br />Ray Smith <br />Signature: <br />Signature: — <br />Title: <br />Terminal Manager - STOCKTO 1 <br />Title <br />FHSE&REeT-eft-vvR m 6 -a - <br />Regulatory Obligation: Underground Storage Tank Return to Compliance Form <br />San Joaquin County Environmental Health Department <br />Reporting period for which Certification is being made: I May 13, 2020 to June 11, 2020 <br />By signing below, I hereby acknowledge that I have received and reviewed this Form, I have reviewed <br />the documentation provided to me with respect to the above -referenced Regulatory Agency <br />submission, and I have conducted a reasonable inquiry into the facts to be certified by me and the facts <br />to be certified are true, accurate and complete to the best of my knowledge. <br />Responsible Official <br />(printed name): <br />Responsible Official <br />(signature): <br />Date: <br />Jerome Jackson - GM West Region <br />