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1 iiC 1`x),`�� . <br />San Joaquin County upuncr <br />Environmental Health Department <br />California1868 East Hazelton Avenue, Stockton, (0 r5 <br />;i, Telephone: (209) 468 3420 Fax. (209) 468 3433Web@ www sjgov org/ehd <br />Aboveground Petroleum Storage Act Inspection Report <br />Facility Name: <br />Facility Address: <br />Date: <br />Lawrence Livermore National Lab - Site 300 <br />15999 W CORRAL HOLLOW RD Tracy <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): 2/ L6L�� <br />Received By (printed name and title): <br />Date: <br />e <br />John Scott, Site Manager <br />Inspector <br />Inspector (printed name and title): <br />Inspector Phone: <br />(signatur <br />STACY RIVER& Senior REHS <br />(209) 4683440 <br />rage o or n <br />