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SAN JOAQU I N <br />CC) U,IN I Y <br />Environmental Health Department <br />Underground Storage Tank Program Inspection Report <br />Facility Name: <br />Facility Address: <br />Date: <br />DBA CIRCLEK, REFUEL PETROLEUM INC. <br />419 S MAIN ST, MANTECA <br />May 06, 2021 <br />To minimize person to person contact EHD is choosing to write the name of person receiving the report instead <br />of having them sign. Starting September 1, 2018, all in -office CERS help will be provided at EHD hourly rate <br />($152). To schedule an appointment, please call (209) 468-3420. <br />Documents provided during inspection: Return to compliance certification form,corrective action statement form <br />and a list of approve CUPA training classes. <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: May 06, 2021 <br />Inspector: <br />Inspector Phone: <br />Printed Name and Title: <br />PAUL NSO, EH Specialist <br />(209) 616-3049 <br />Hussian Ismail, Environmental Contact <br />FA0003685 PR0231433 SCO01 05/06/2021 <br />EHD 23-01 Rev. 9/16/2020 Page 6 of 6 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.sjgov.org/EHD <br />