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San Joaquin County <br /> Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, California95205-6232 <br /> Telephone:(209) 468-3420 Fax: (209) 468-3433 Wed:www.sjgov.orglehd <br /> Underground Storage Tank Program Inspection Report <br /> Facility Name: Facility Address: Date: <br /> •VEL PLAZA#151 RNTON RD. LOD! I °y 03, 2010 <br /> Certification of Financial Responsibility, U16 i response Pian. UST Letter from -njef Financial OfficeV <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 Thi, <br /> FACILITY BACK INTO COMPLIANCE <br /> THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE <br /> Received by:�S'�d St1�,.twGf�ate: �� , 3 /` Inspector: Inspector Phone: <br /> Printed Name and Title: RIS VELOSO. Senior REHS 1209) 468-3453 <br /> Page 6 of 6 <br />