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San Joaquin County VW <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.or./q ehd <br />Underground Storage Tank Program Inspection Report <br />Facility Name: <br />Facility Address: <br />Date: <br />QUIK STOP MARKET #3132* <br />3555 W HAMMER LN STOCKTON <br />Aril 18 2016 <br />paperwork, by May 18, 2016 . <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 Letter from Chief Financial Officer(if <br />applicable), and the Owner Statement of Designated Operator Compliance. The UST Owner/Operator: Written <br />Agreement, if applicable, can be stored at the facility or uploaded into CERS. <br />NOTES: <br />- Verified all sensors at lowest point <br />AFTER THE COMPLIANCE DATE, EHD WILL BILL FOR ALL TIME AND ACTIVITIES ASSOCIATED WITH BRINGING THIS <br />FACILITY BACK INTO COMPLIANCE <br />THIS FACILITY IS SUBJECT TQ R INSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE <br />eived by: Date: \� l�. <br />Inspector: <br />Inspector Phone: <br />Printed Name and Title:FATINAH <br />ZAREEF, REHS <br />(209) 953-7311 <br />\� S �v <br />NNG Page 4 of 4 <br />