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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: Facility Address: Date: <br /> LODI MUNI SERVICE CENTER 1 1331 S Ham Ln Lodi September 25, 2014 <br /> designated operator has an ICC expiration date: 6-27-15 The service technician was David Winkler(ICC <br /> expiration date: 3-3-16), who has the following manufacturer's certifications: Veeder Root 2-10-16, SWRCB <br /> 3-31-17, VMI 11-10-15 . <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 Owner/Operator: Written Agreement(if <br /> applicable), UST Letter from Chief Financial Officer, and Owner Statement of Designated UST Operator <br /> Compliance. After January 1, 2015, noncompliance with this requirement will be a violation. Please be aware that <br /> the monitoring system certification test report must be submitted into CERS within 30 days of testing. <br /> ALL EHD STAFF TIME ASSOCIATED WITH FAILING TO COMPLY BY THE ABOVE NOTED DATES WILL BE BILLED AT THE CURRENT HOURLY RATE <br /> Receiv Title: Dade,; <br /> By <br /> Ins ector: ARIS VEL SO Title: Senior REHS Phone: 209 468-3453 Date: 09/25/2014 <br /> Page 4 of 4 <br />