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San Joaquin County NOW <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.orq/ehd <br />Underground Storage Tank Program Inspection Report <br />Facility Name: <br />Facility Address: <br />14405 <br />Date: <br />PACIFIC CAR WASH'MARKETPLACE INC <br />PACIFIC AVE STOCKTON <br />May 14 2015 <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 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 />Notes: <br />* Verified all sensors at lowest point <br />* Carl Wayne Henderson replaced 91 leak detector. Filled out UST Retrofit with Inspector Already Onsite form <br />ALL EHD STAFF TIME ASSOCIATED WITH FAILING TO COMPLY BY THE ABOVE NOTED DATES WILL BE BILLED AT THE CURRENT HOURLY RATE <br />(TFMFACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE <br />Receive <br />Received By (printed name and title): <br />Date: <br />(signat re): <br />Tamara Castro, Manager <br />Inspector.,Inspector <br />(printed name and title): <br />Inspector Phone: <br />(signature): <br />FATINAH ZAREEF, REHS <br />(209) 953-7311 <br />I Page 4 of 4 <br />