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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 /> UNITED GAS STOCKTONyy;� (7FnL �, August 18, 2014 <br /> operator is Zane Nimmo (ICC expiration date: 3/3/16 ) . The service technician was Dave Winkler(ICC expiration <br /> date: 3/3/16 ), who had the following manufacturer's certifications: VR X. 2/10/16. VMI X. 11/10/15 . <br /> Please be aware that facility operators are required to upload the following UST program documents into the <br /> California Environmental Reporting System (CERS): UST Monitoring Site Plan, UST Certification of Financial <br /> Responsibility, UST Response Plan, UST Owner/Operator: Written Agreement(if applicable), UST Letter from <br /> Chief Financial Officer, and Owner Statement of Designated UST Operator Compliance. The Monitoring System <br /> Certification test results must be uploaded and summited to CERS within 30 days of today's inspection (under <br /> miscellaneous state required documents). <br /> Provided : Return To Compliance Certification form <br /> ALL EHD STAFF TIME ASSOCIAT=ITR FAILING TO COMPLY BY THE ABOVE NOTED DATES WILL BE BILLED AT THE CURRENT HOURLY RA LE <br /> THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE <br /> Received By: Title: Date: <br /> Zc) (I <br /> Ins ector: STACY RIV Title: Senior REHSPhone: 209 468-3440 Date: 08/18/2014 <br /> ( �;_�� <br /> Page 4of4 <br />