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Admik <br /> San Joaquin County <br /> Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, California95205-6232 <br /> Telephone. (209) 468-3420 Fax: (209) 468-3433 Web.www.siCIov.orQ- /ehd <br /> Underground Storage Tank Program Inspection Report <br /> Facility Address: <br /> MINI MART IN(� —Fa- Date ch 21. 2016 <br /> Facility Name: STOCKTON <br /> —ertification of Financial i"'esponsibility, UST Response Plan, LIST Letter from Chief Financial Office6f <br /> and the Owner Statement of Designated Operator Compliance. The UST Owner/Operator. Writte: <br /> �,ment, if applicable. can be stored at the facility or uploaded into CERS. <br /> NOTES: <br /> I Verified all sensors at lowest point <br /> AFTER THE COMPLIANCE DATE, EHD WILL BILL FOR ALL TIME AND ACTIVITIES ASSOCIATED WITH BRINGING THI, <br /> FACILITY BACK INTO COMPLIANCE <br /> THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE <br /> Received by: Date: 3 jai Inspector: Inspector Phone: <br /> Printed Name and Title: FATINAH ZAREEF. REHS X209) 953-73- <br /> r <br /> Page 5 of 5 V <br />