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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.si og v.org/ehd <br />Underground Storage Tank Program Inspection Report <br />Facility Name: <br />Facility Address: <br />Date: <br />CHEROKEE LANE SERVICE STATION* <br />900 S CHEROKEE LN, LODI <br />October 28, 2014 <br />him, but claimed he is current. Submit a copy of his current VMI training certification to EHD within 1 business <br />day. If the certification turns out to be invalid, the line -leak detector test result will not be accepted, and the test <br />must be rerun by a properly certified technician. <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 />ALL EHD STAFF TIME 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 By (signature): <br />Title: <br />Date: <br />Received By (printed name): <br />/Y <br />Inspector: <br />JEFFREY WONG, Senior REHS <br />Inspector Phone: <br />(209) 468-0335 <br />Page 5 of 5 <br />i <br />