Laserfiche WebLink
a <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.siqov.or-q/ehd <br />400®rew 11 <br />- <br />Facility Name: <br />Facility Address: <br />Date: <br />AT&T California - UG010 <br />1812 COLEY AVE, ESCALON <br />February 18, 2016 <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 LIST 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 THIS <br />FACILITY BACK INTO COMPLIANCE <br />THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE <br />Received by: Date: February 18, 2016 <br />Inspector: <br />Inspector Phone: <br />ELENA MANZO, Senior REHS <br />(209) 953-7699 <br />Printed Name and Title: <br />Thuy Tran, ESM <br />Page 4 of 4 <br />