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SHR+ �� i Q U I Environmental Health Department <br /> COUNTY <br /> Underground Storage Tank Program Inspection Report <br /> Facility Name: Facility Address: Date: <br /> CANEPAS CAR WASH STORE 642 N HUNTER ST, STOCKTON June 27, 2019 <br /> Documents provided: <br /> -Return to compliance certification <br /> -EHD class schedule <br /> -Certification of financial Responsibility Form <br /> -Letter from Chief Financial Officer Form <br /> -Response Plan Form <br /> -Designated Understanding Storage Tank Operator Identification Form <br /> -Statement of Understanding and Compliance form <br /> -Facility Employee Training Certificate <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: June 27, 2019 Inspector: Inspector Phone: <br /> Printed Name and Title: SHEWIT WOLDEAREGAY, EHS Trainee (209)468-0216 <br /> Sonia Salazar, Manager <br /> FA0000799 PR0231148 SCO01 06/27/2019 <br /> EHD 23-01 Rev.09/28/2018 Page 8 of 8 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 />