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A <br /> tI tar __ . . <br /> Reasonable Inquiry Certification Form <br /> To : File Date : July 16 , 2020 <br /> By signing below, I hereby certify that : <br /> 1 . I have physically reviewed any and all documents associated with the regulatory obligations <br /> listed below; <br /> 2 . 1 have read all of the associated requirements and conditions for which the certification is <br /> being made; <br /> 3 . 1 have made this reasonable inquiry in a timely manner and provided such documentation to <br /> the Responsible Official with sufficient time to make an inquiry of the documents he/she is <br /> certifying; <br /> 4 . All information contained in the documents to be certified are true and correct to the best <br /> of my knowledge; and <br /> 5 . I will retain this Reasonable Inquiry Certification Form and all associated documents for the <br /> statutory retention period . <br /> Responsible Personnel <br /> Name : Name : <br /> Ray Smith Buddy Stubblefield <br /> so <br /> gnature < Signature : <br /> Title : Title .• <br /> Terminal Manager - STOCKTO lMgr . HSE WR <br /> Regulatory Obligation : San Joaquin Environmental Heatth Department <br /> Permit application for closure in place of Underground Storage Tank <br /> Reporting period for which Certification is being made : July 16 , 2020 and forward <br /> By signing below, I hereby acknowledge that I have received and reviewed this Form , I have reviewed <br /> the documentation provided to me with respect to the above- referenced Regulatory Agency <br /> submission , and I have conducted a reasonable inquiry into the facts to be certified by me and the facts <br /> to be certified are true, accurate and complete to the best of my knowledge . <br /> Responsible Official <br /> (printed name ) : Jerome Jackson - GM West Region <br /> Responsible Official _ <br /> E <br /> (signature) . ,G� n <br /> E <br /> Date : 6/2020 <br /> i <br />