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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: T633 <br /> cility Address: Date: <br /> BILLS 76 E VICTOR RD, LODI February 02, 2015 <br /> technician was Felix Ramirez (ICC 5273934-UT expiration date: 12/26/16),Tank Tester08-1740 expiration date: <br /> 05/31/2017, and had the following manufacturer's certifications: VMI #2516 expiration 11/12/15, VR #634976 <br /> expiration 7/7/2016. <br /> Rupinder submitted new financial responsibility document to CERS dated 2/1/2015 <br /> re required to upload the following UST program <br /> Please be aware that as of Januar 1, 2014, facility operators a q p 9 P 9 <br /> Y <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 END AFF IME ASSO IATED WITH FAILING TO COMPLY BY THE ABOVE NOTED DATES WILL BE BILLED AT THE CURRENT HOURLY RATE <br /> THI FA LITY 14 SUBJECT TO REINSPECTION ATANYTIME AT EH D'S CURRENT HOURLY RATE <br /> Received B gnatu e) Title: <br /> Received yprinted nam i Inspector: Inspector Phone: <br /> JEFFREY WONG, Senior REHS (209)468-0335 <br /> Page 4 of 4 <br />