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r <br />• <br />San Joaquin CountyED <br />Environmental Health Department I i <br />1868 East Hazelton Avenue Stockton California 95205-6232 Lf <br />o a <br />Telephone: (209) 468-3420 Fax: (209) 468-3433 Web: www.sjgov.ora/ehd <br />a. . <br />Underground Storage Tank Program Inspection:Report <br />,y „ <br />Facility Name: <br />Facility Address: <br />Date: <br />ARCO 05450 <br />1617 W Fremont St, STOCKTON <br />August 05, 2014 <br />Jessie Wadkins (ICC expiration date: 4/29/15), who had the following manufacturer's certifications: VR x. 5/4/15, <br />VMI x. 2/6/16. <br />Please be aware that facility operators are required to upload the following UST program documents into the <br />California Environmental Reporting System (CERS): UST Monitoring Site Plan, UST Certification of Financial <br />Responsibility, UST Response Plan, UST Owner/Operator: Written Agreement (if applicable), UST Letter from <br />Chief Financial Officer, and Owner Statement of Designated UST Operator Compliance. The Monitoring System <br />Certification test results must be uploaded and submitted to CERS within 30 days of today's testing. <br />Provided: Return to Compliance Certification form <br />ALL EHD STAFF TIME ASSOCIATED WITH FAILING TO COMPLY BY THE ABOVE NOTED DATES WILL BE BILLED AT THE CURRENT HOURLY RATE. <br />THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE. <br />Received By: <br />Title: <br />Date: <br />elk- <br />lk-Ins <br />ector: STACY RIVERA <br />inspector: <br />Title: Senior REHS Phone: 209 468-3440 <br />Date: 08/05/2014 <br />Page 4 of 4 <br />