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SAN4JOAQUIN Environmental Health Department <br /> -COUNITY—, <br /> Un46rout:o n.k rograqv.-�l specRepoli, <br /> Facility Name: Facility Address: Date: <br /> TESORO(SHELL)68150(WRR 6133) 13975 E HVVY 88 , LOCKEFORD August 28, 2018 <br /> Document reviewed: Monitoring system certification test results 2015, 2016, 2017, employee training, response <br /> plan, maintenance records, monitoring plan, financial responsibility documents and designated operator monthly <br /> inspection reports from August 2017-August 2018. <br /> Documents provided: Return to compliance certification. <br /> Inspector was not able to witness the sensor functionality while on site. The service technician conducted the <br /> sensor functionality and stated that all sensors were tested with passing results. A copy of the test results will be <br /> reviewed once it is submitted to EHD. <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): LIST 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 /> AFTER THE COMPLIANCE DATE, EHD WILL BILL FOR ALL TIME AND ACTIVITIES ASSOCIATED WITH BRINGING <br /> THIS FACILITY BACK INTO COMPLIANCE. <br /> THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE. <br /> Received by: Date: August 28,2018 Inspector: Inspector Phone: <br /> 1___41_1�1411 Printed Name and Title: ZUNA BARKER, EH Specialist (209)953-7311 <br /> Leonard Robles, Store Manager <br /> FA0000055 PR0231622 SC001 08128/2018 <br /> EHD 23-01 Rev.10/31/2017 Page 4 of 4 Underground Storage Tank Program OIR <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />