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2015-06-17 10:39 W1091 2093667310 »lk 2094683433 P 8/9 <br /> San Joaquin County <br /> Environ Health Department <br /> 1868 Eag HazeaDn Avenue, n,Cal#bmla 9=5.6232 <br /> T •(209) 2Q ;(2W)468,un web: <br /> Facliittt Name., F <br /> 4 twr�' holesale 1091 2680 REYNOLDS RANCH PKWY.Loi Lula IQ 2015 <br /> On site to conduct the routine inspection and witness the functionality testing for annual monitoring system <br /> .-rHfication and 800072012. <br /> c)rn,",Aete and submit a copy of the Return to Compliance Certification form to the EHD with a statement <br /> rrtttirrig the correctiive actions that have been or will be taken for each violation, and any supporting <br /> worle, by -15-15. <br /> r <br /> .f'iiaase be aware that as of January 1,2014, facility operators are required to upload the following UST prograr , <br /> ;�t invents into the California Environmental Reporting System(CERS):UST Monitoring Site Plan, 'UST <br /> "-:er?iticaVon of Financial Responsibility, UST Response Plan, UST tetter from Chief Financial Offic r(if <br /> �;oplicable), and the owner Statement of Designated operator Compliance. The UST Owner/Operator. Written t <br /> I :,-erne eint, if applicable, can be stared at the facility or uploaded into CELS. <br /> ;- .'ire alarms for today's testing printed out as6-7-13.Technician later corrected the time and date to5-19-,!5 <br /> 3 <br /> i Y <br /> i¢ JUN 17 2115 <br /> t <br /> --Arm MW W TWOE <br /> t <br /> THIS FACILITY IS SUBJECT TO REINSPECTION AT ANYTIME AT EHEYS CURRENT HOURLY RATE <br /> Raceimd By a <br /> A Rick MedeirDs.Gas Station Supervisor <br /> In tpr <br /> ARES VELQSO,Senior no"andRENS (22i? r P�hor <br /> { )�468-34533 <br /> Pap4of4l <br />