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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.s"gov.org/ehd <br /> Underground Storage Tank Program Inspection Report <br /> Facility Name: Facility Address: Date: <br /> ARCO 02186 3212 N CALIFORNIA ST, STOCKTON January 13, 2015 <br /> Consent to perform the inspection, take photos and collect samples was given by Kevin Vo. This facility's <br /> designated operator is Gabriel Martin (ICC expiration date: 6-5-16 ) . The service technician was Chris San <br /> Nicolas (ICC expiration date: 12-5-16 ), who had the following manufacturer's certifications: VR 1-20-15, VMI <br /> 10-29-16 . <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. <br /> —=rRD STAFF I IME ASSOCIATED WITH FAILING TO COMPLY BY THE ABOVE NOTED DATES WILL BE BILLED AT THE CURRENT HOURLY RATE <br /> THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE <br /> Received <br /> B i/gnature): Title: Date: <br /> Received By(printed name): Inspector: Inspector Phone: <br /> rRe�''��ti � 1 �Vti.✓1'—!M� FATINAH ZAREEF, REHS (209) 953-7311 <br /> Page 4 of 4 <br />