Laserfiche WebLink
SAKJOAQUIN *Environmental Health Department <br /> COUNTY <br /> it, RM <br /> Facility Name: Facility Address: Date: <br /> SHELL 1-5 717 W EIGHTH ST, STOCKTON March 08, 2018 <br /> Complete and submit a copy of the Return to Compliance Certification form to the EHD with a statement <br /> documenting the corrective actions that have been or will be taken for each violation, and any supporting <br /> paperwork, within 30 days of receiving this inspection report. . <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: March 08, 2018 Inspector: Inspector Phone: <br /> —Z� Printed Name and Title: CESAR RUVALCABA, EH Specialist (209) 953-6213 <br /> Joe Dangtran, Owner <br /> FA0015274 PRO522448 SCO01 03/08/2018 <br /> EHD 23-01 Rev.10/31/2017 Page 5 of 5 Underground Storage Tank Program OIR <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />