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SANJ 0 A U I Environmental Health Department <br /> C�0 U 'r Y <br /> Underground Storage Tank Program Inspection Report <br /> Facility Name: Facility Address: Date: <br /> 7-ELEVEN INC#32190 4943 S HWY 99 , STOCKTON April 30, 2019 <br /> -The Facility Form lists the tank operator as 7-Eleven; The Owner/Operator Written Agreement lists Jivtesh Singh <br /> Gill as the tank operator. Ensure accurate information is submitted. <br /> Starting September 1, 2018, all in-office CERS help will be provided at EHD hourly rate($152). To schedule an <br /> appointment, please call (209) 468-3420. <br /> Documents provided: Return to Compliance Certification form, schedule of free CUPA classes <br /> AFTER THE COMPLIANCE DATE, EHD WILL BILL FOR ALL TIME AND ACTIVITIES ASSOCIATED WITH BRINGING THIS <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: April 30, 2019 Inspector: Inspector Phone: <br /> Printed Name and Title: STACY RIVERA, Senior REHS (209)468-3440 <br /> Shakeel Ahmed, Cashier <br /> FA0007458 PRO506488 SCO01 04/30/2019 <br /> EHD 23-01 Rev.09/28/2018 Page 5 of 5 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 />