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0 HEGEIVE(� <br /> San Joaquin County FEB 12 2015 <br /> Environmental Health Department <br /> 1868 East Hazelton Avenue,Stockton, California 95205-5232 <br /> Telephone.-(209)468-3420 F:bx.-(209)468-8433 Web:MWWgov.ora/ehd":NV1R0NMENTA!- <br /> in r <br /> ---[�F� 06, 2015 <br /> Facility Name: Facility Address:CHEVRON STATION A201383 E,960 W ELEVENTH ST, TRACY February <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 Owner/Operator- Written Agreement(if <br /> applicable), UST Letter from Chief Financial Officer, and Owner Statement of Designated UST Operator <br /> Compliance, <br /> A11TROSTAFF TIMEAssooWrOWITR FAKING TOCOMMINTHEABOVE NOTED GATETWLISE 9111GOA;TRECURRENTROURrY RXIM <br /> THIS FACILITY IS SUBJECT TO REINSPECTION AT ANYTIME AT EHDS CURRENT HOURLY RATE <br /> to Title: I Date, I <br /> dA I <br /> TTn-S <br /> [Wicelv#5 y R5715 Inspeown U OftborPhone <br /> ; <br /> 7 MICHELLE HENRY,Senior REH3L--''---1--4 -(209)468-3454 <br /> Page 4 of 4 <br />