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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.sigov.org/ehd <br />Underground Storage Tank Program Inspection Report <br />Facility Name: <br />PERSHING GAS <br />Facility Address: <br />4445 N PERSHING AVE, STOCKTON <br />Date: <br />January 30, 2017 <br />report which replaces the initial checklist. The EHD will charge a fee of $139 per hour to complete the MSC <br />testing inspection. <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, within 30 days of receiving the complete inspection report. <br />AFTER THE COMPLIANCE DATE, EHD WILL BILL FOR ALL TIME AND ACTIVITIES ASSOCIATED WITH BRINGING <br />THIS FACILITY BACK INTO COMPLIANCE <br />THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE <br />Received by: Date: 3//6///7 <br />Inspector: <br />Inspector Phone: <br />Printed Name and Title: <br />VICKI MCCARTNEY, Senior REHS <br />(299) 468-9852 <br />1)'Ic JI % Sr— ;// <br />FA0003994 PR0231785 SC001 01/30/2017 <br />EHD 23-01 Rev- 09122!16 Page 7 of 7 Underground Storage Tank Program CIR <br />