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�/ Page 6 of 6 <br />San Joaquin County ''• <br />D.. 0 4 2015 Environmental Health Department W(9! <br />1868 East Hazelton Avenue, Stockton, California 95205-6232 <br />ENVIRONMENTAL Telephone: (209) 468-3420 Fax: (209) 468-3433 Weh: WWw.sj oq v.org/ehd <br />HEALTH DEPARTMObveground Petroleum Storage Act Inspection Report <br />Facility Name: <br />Facility Address: <br />FDate: <br />Lawrence Livermore National Lab - Site 300 <br />15999 W CORRAL HOLLOW RD Trac <br />September 30 2015 <br />Please be aware as of January 1, 2013, all businesses are required to submit all new (or any changes to existing) <br />Aboveground Petroleum Storage Act (APSA) information online to the California Environmental Reporting Systerr <br />(CERS) at http://cers.calepa.ca.gov in addition to any other relevant activities and required fields. No later than <br />January 1, 2014, all APSA data must be entered and or updated in CERS. <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 />(signature): /I/j � ' �� <br />Received By (printed name and title): <br />Date: <br />2 <br />John Scott, Site Manager <br />Inspector <br />Inspector (printed name and title): <br />Inspector Phone: <br />(signatur <br />STACY RIVERA, Senior REHS <br />(209) 468-3440 <br />�/ Page 6 of 6 <br />