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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: <br />Facility Address: <br />Date: <br />FLAG CITY CHEVRON <br />6421 CAPITOL AVE, LODI <br />September 24, 2014 <br />7-7-16, VMI expiration date: 11-12-15, and State Water Resources Control Board expiration date: 5-31-17. <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 URRENT H URLY RATE <br />— THIS FACILITY IS SUBJECT TO REINSPECTION AT ANYTIME AT EHUS CURRENT HOURLY RATE <br />Received By: <br />Title:- 11 <br />(Date: <br />inspector: ARIS VELOSO -19L <br />Title: Senior REHS Phone: 209 468-3453 <br />Date: 09/24/2014 <br />Page 6 of 6 <br />