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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 />UndergroundStorage Tank' Program Inspection Report <br />Facility Name: <br />Facility Address: <br />Date: <br />PACIFIC AVENUE CHEVRON <br />6633 PACIFIC AVE, STOCKTON <br />January 23, 2017 <br />of five gallons, is protected from galvanic corrosion, and has either a drain valve which allows drainage of the <br />collected spill into the primary container or provides a means to keep the spill container empty pursuant to CCR, <br />Title 22, Section 2635(b)(1). <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 Letter from Chief Financial Officer(if <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: January 23, 2017 <br />Inspector: <br />Inspector Phone: <br />Printed Name and Title: <br />VICKI MCCARTNEY, Senior REHS <br />(209) 468-9852 <br />Ruvian Laurel, Manager <br />FA0003834 PR0231784 SC001 01/23/2017 <br />EHD 23-01 Rev. 09/22/16 Page 5 of 6 Underground Storage Tank Program OIR <br />