Laserfiche WebLink
1-1 <br />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.sigov.org/�h—d <br />Underground Storage Tank Program Inspection Report <br />Facility Name: <br />Facility Address: <br />Date: <br />AveriueI Che%,,ron <br />PACIFIC AVE, I3tocktor, <br />January 21. 2015 <br />-Pacific <br />Ae 01,10 <br />-ocumenting'he,c— ctive actionsthal have been orwi!l beTaken fig reach violation, ar',dany supporting <br />paperwork, by 2,'20/2014, <br />Consent to perform the inspection, take photos and collect samples was given by KWMe the cashier and Jenn <br />Barlett by way of tie monitoring testing notification from Affordatest hired by the facility, L)esignated operator is <br />Michael Reimers (ICC exDffation dat& 9/2/201',), ­�­ lie ser1°Iice technician is Z_7­,._-4vid Winkler `lCC expw,,'Ition date <br />31"31201), who had the following manufacti-ire-'!,; .,etlrficAtion& VMl #2529 exp, i 1/10112015, VR #R34975. e; ,<, <br />211012 0 16 <br />Current buI si ness owner tcIc* over, ot")eraOon of the facility III october 1-0 15 Only designated operator monthly <br />ins.pection reports after the change of ownenszhip were found cin site. EI` D Joos not consider this d:screpancy to <br />be a violation, but please be aware that designated operator Inonthly inspection reports for the previous t,,kelve <br />months most be retained on site avaiiable f,)r inspection. <br />Please be aware that as m January 1, 201,4 iacility operators are reqUhired to upload "he following UST Prograrn <br />I <br />ertung System, (CERS), UST Monitoring Site Plan, US -1 <br />documents mto the California Environmental Rpo <br />Certification of Financial Responsibility, UST Response Plan USTOwn er/OperwoWritten Ageernet fl`f <br />applicable), UST' Letter from Chief Financial Officer and Owner Statement of Designated UST Op(_-,,;rator <br />ALL EHD&rAFF WE ASSOCIATED WITH FAILING To COMPLY BY THE MOVE RM15 OATES WILL BE BILLED AT THE 7-URRENT HOURCY RATE- <br />THI.R F AF( -T TQ REINS2ErIIQN AI ANY__TJMF AI I S <br />Received By (signature): <br />_EjjDj _CUREENTHOURUBAIE <br />Title: <br />Date: <br />Received By (printed name)* <br />Inspector- <br />Inspector Phone: <br />VVONG. SeiIiI.,,f REFIS <br />4f38 -033`- <br />_j <br />=Z! <br />