Laserfiche WebLink
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 />1 <br />Date: <br />I <br />ARCO 02093 <br />3425 N Tracy Blvd, TRACY <br />October 29, 2014 <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 />1 <br />Received By (signature): <br />Title: n <br />U) /A4 <br />Date: <br />C CLW <br />Received By (printed name): <br />Inspector: <br />JEFFREY WONG, Senior REHS <br />Inspe for PlArne: <br />(209) 468-0335 <br />Page 4 of 4i% V <br />/V <br />