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Jan 2618 O5:00p <br />Facility Name.. <br />ERNIES GENERAL STORE <br />San Joaquin County <br />Environmental Health Department <br />1865 East Hazelton Avenue, Stockton, California 95205-6232 <br />Telephone; (209) 468-3420 Fax. (209) 468-3433 Web: w wr siaov DroJehd <br />Faeilily Address: <br />4407 E WATERLOO <br />Date: <br />11 <br />2018 <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 />RE E `," <br />JAIL 2 6 2018 <br />ENVIRONMENTAL HEALTH <br />DEPARTMENT <br />AFTER THE COMPLIANCE DATE, EHD WILL BILL FOR ALL TIME AND ACTIVITIES ASSOCIATED WITH BRINGING <br />THIS FACILITY BACK INTO COMPLIANCE. <br />eMdby: <br />THIS FACILITY IS SUBJECT TO REINSPECTION AT ANYTIME AT EHD-S CURRENT HOURLY RATE. <br />Dare: January22, 2018 impactor, <br />Inspecor Phalce: <br />. Primed Meas am ntle: ELIANNA FLORIDO, EHS Trainee j(209t468-0343 <br />ErnestGiannecchlni, Owner <br />=1D 23-01 Rev. 09/22116 FAOCD2347 PR023176: SC031 0tI2o2D18 <br />Page 5 of 5 <br />Untlergruunc Smrage Tia Pregren OIR <br />