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Time In: <br /> Time Out: <br /> tv. San Joaquin County <br /> y Environmental Health Department <br /> y ' ` 1868 East Hazelton Avenue, Stockton, CA95205-6232 <br /> �.. P Telephone: (209) 468-3420 Fax: (209)464-0138 Web:www.s'gov.org/ehd <br /> q�IFOR�. <br /> Underground Storage Tank Program Service Request Inspection Report <br /> Name of Facility: A&A GAS & FOOD MART Date: 04/27/2018 <br /> Address: 16 E HARDING WAY, STOCKTON 95204 <br /> Requestor: A&A GAS & FOOD MART,A&A GAS & FOOD MART Telephone: (510) 396-5560 <br /> Program Element: 2308- UST RETROFIT Request#: SR0078895 <br /> Inspection Type: 298 - UST RETROFIT REPAIR INSPECTION <br /> Onsite Service Technician: no technician on site ICC Service Tech/Installer Exp. Date: <br /> Manufacturer training: <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> NOTES <br /> Conducted visual inspection of the filters within the UDCs and verification of the dispenser footprint contained by the UDCs <br /> and deflectors plates. The west deflector plate in dispenser 9/10 was not on and was resting loose inside the dispenser. It <br /> was placed back on its stand at the time of inspection. <br /> This facility is approved to operate. <br /> The person in charge is responsible for ensuring that the above mentioned facility is in compliance with all applicable sections of the California Health and <br /> Safety Code. If a reinspection is required,fees will be assessed at the current hourly rate. <br /> �4 <br /> Received by: Name and Title: mohammad hussaini, manager <br /> EH Specialist: STACY RIVERA Phone: (209)468-3440 <br /> FA0003610 SR0078895 SC298 04/27/2018 <br /> EHD 23-01 Rev.06/30/15 Page 1 of 1 Underground Storage Tank Program Service Request Inspection Report <br />