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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.sjgov.org/ehd <br />Underground Storage Tank Program Inspection Report <br />Facility Name: <br />Facility Address: <br />Date: <br />HARDY'S GAS STATION <br />16 E HARDING WAY STOCKTON <br />February 23 2016 <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 />Documents reviewed: CERS submittals, Designated Operator (DO) monthly inspection reports, DO training <br />records, work orders, alarm logs, alarm history printout, previous test results <br />Documents provided: Return to Compliance Certification form, Schedule of free CUPA classes, Financial <br />responsibility documents <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 23, 2016 <br />Inspector: <br />Inspector Phone: <br />(1 Z4__ Printed Name and Title: <br />STACY RIVERA, Senior RENS <br />(209) 468-3440 <br />HARDEEP DEOL, OWNER <br />Page 6 of 6 <br />