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r' 1 <br />Ask <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.sjgov.org/ehd <br />Underground Storage Tank Program Inspection Report <br />Facility Name: <br />Facility Address: <br />Date: <br />FLAG (:"„ °> SHED" <br />64:' a \NHA�t € ST. LODE <br />March 93. 201(-3 <br />Overall Inspection Comments: <br />conduct a routine inspection and wits ,,- ., stem certification testing. <br />'Tease be aware that as of January1, 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 />',':on of Financial Responsibility, UST Response Plan, UST Letter from Chief Financial Officer if <br />), and the Owner Statement of Designated Operator Compliance. The UST Owner/Operator: written <br />hent, 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 THI <br />FACILITY BACK INTO COMPLIANCE. <br />THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT EHUS CURRENT HOURLY RATE <br />Received by: Date: March 08, 2016 <br />Inspector: <br />Inspector Phone: <br />Printed Name and Title: <br />ARIS 'VELOSO, Senior REHS <br />(209) 468-3453 <br />Shawn Sodhi, Mana,, <br />Page 4 of 4 <br />