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San Joaquin County l!® ® <br /> Environmental Health Department (' <br /> 1868 East Hazelton Avenue, Stockton, California 95205-6232 <br /> Telephone:(209)468-3420 Fax: (209)468-3433 Web:www.siQov.org/ehd <br /> Underground Storage Tank Program Inspection Report <br /> Facility Name: Facility Address: TFFebruary <br /> ate: <br /> A&A GAS & FOOD MART 16 E HARDING WAY STOCKTON 28 2018 <br /> The report was amended by the EHD. The amended report replaces the initial report. Added violations#201 anc <br /> 209. <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, by March 30, 2018. <br /> *The facility is under new ownership as of August23, 2017. <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 /> Documents provided: Return to Compliance Certification form, Schedule of free CUPA classesAn inspection <br /> report was provided to the facility operator on the day of inspection. <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 EHUS CURRENT HOURLY RATE <br /> Received by: Date: February 28, 2018 Inspector: Inspector Phone: <br /> " �✓ . Printed Name and Title: STACY RIVERA, Senior REHS (209)468-3440 <br /> Mohshini Mishra, Clerk <br /> FA0003610 PR0231136 SCO01 02/28/2018 <br /> EHD 23-01 Rev.09/22/16 Page 6 of 6 Underground Storage Tank Program OIR <br />