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J4/LL/LUU`3 WZU 11:4b r -AX GVy4bt5.5433 <br />April 22, 2009 <br />auv, zau <br />*** FAX TX REPORT *** <br />********************* <br />TRANSMISSION OK <br />JOB NO. <br />2489 <br />DESTINATION ADDRESS <br />919259393516 <br />PSWD/SUBADDRESS <br />Annual Monitoring Certification <br />DESTINATION ID <br />Annual monitoring certification, leak detector <br />ST. TIME <br />04/22 11:41 <br />USAGE T <br />04'41 <br />PGS. <br />5 <br />RESULT <br />OK <br />JoaquinSan <br />Environmental Health Department <br />600 <br />Stockton, irnia 95202-3029 <br />Mike Ahmadi <br />Marie Jordan <br />Dave Hinds <br />587 Ygnacio Valley Road <br />Walnut Creek, CA 94596 <br />Fax: (925) 979-0467, (925) 939-3516 <br />r r + - r <br />Phone: (209) 468-3420 <br />19) 464-0 <br />DIRECTOR <br />Donna Heran, REHS <br />ASSISTANT DIRECTOR <br />Laurie Cotulla, REHS <br />PROGRAM COORDINATORS <br />Mike Huggins, RENS, RDI <br />Margaret Lagorio, REHS <br />Robert McClellon, REHS <br />Jeff Carruesco, REHS, RDI <br />Kasey Foley, REHS <br />Sent by: Certified Mail and Fax <br />SUBJECT: Underground Storage Tanks, Country Club 76, 2575 Country Club Blvd, Stockton, 95204 <br />The San Joaquin County Environmental Health Department (EHD) performed a routine underground storage tank <br />inspection on January 6, 2009 at the above referenced site. <br />An inspection report was issued to the site staff along with a request for pertinent information necessary to bring the <br />facility into compliance with UST regulations. You were required to send this information to the EHD by February <br />12, 2009. This information has not been received by the EHD. <br />Perform the following: <br />r <br />Current UST Facility form (former Form A) <br />Current UST Tank form (former Form B) <br />Annual Monitoring Certification <br />r <br />Annual monitoring certification, leak detector <br />and spill bucket test results <br />Monitoring and Response plans <br />Maintenance and monitoring logs <br />Certification of Financial Responsibility and <br />r <br />Designated Operator reports <br />Letter from Chief Financial Officer <br />Designated Operator employee training <br />Statement of Designated Operator <br />records <br />Certification of Return to Compliance (Signed <br />Statement of how each violation was or will <br />and dated) <br />be corrected <br />r <br />Financial Responsibility documents <br />r <br />Note: All EHD staff time associated with failing to comply, including the issuance of this letter, is billed at the <br />department rate, currently $105/hour. Failure to submit the requested information immediately may result <br />in a reinmection or further legal action. <br />I <br />uvvi <br />