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Time In: <br /> Time Out: <br /> owAytN San Joaquin County <br /> qF <br /> Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, CA95205-6232 <br /> Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.smgov.org/ehd <br /> Un erground Storage Tank Program Service Request Inspection Report <br /> Name of Facility: 0L011 AL E Q ±41 35 Date: 02/20/2018 <br /> Address: 192 LATHROP RD, LATHROP 95330 <br /> Requestor. ANGEL RODRIGUEZ, WALTON ENGINEERING INC Telephone: (916) 373-1165 <br /> Program Element: 2308-UST RETROFIT Request#: SR0078671 <br /> Inspection Type: 298- UST RETROFIT REPAIR INSPECTION <br /> Onsite Service Technician Jessie Andrade ICC Service Tech/Installer Exp. Date: 01/26/2020 <br /> Manufacturer training: Bravo Swat, 01/16/19; ICC installation/retrofit,09/09/18 <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> NOTES <br /> Onsite to verify Bravo deflector plates on each dispenser(12) installed per manufacturer's guidelines. The installed Bravo defle <br /> plates on all dispensers are adequate. Also, verified that any potential product piping leaks can be captured by the under <br /> dispenser containment(UDC) and visually inspected the piping within the dispensers for any product leaks. No product leaks <br /> were observed during the visual pipe inspection. <br /> No further inspections are required for the installation of the Bravo deflector plates in all dispensers. <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 /> Received by: L/ Name and Title: �J 2cs/� AD &44-404 �iwj<of &"'&,r <br /> EH Spec' st: BETTY HO Phone: (209)468-3455 <br /> SR0078671 SC298 0220/2018 <br /> EHD 23-01 Rev.06/30/15 Page 1 of 1 Underground Storage Tank Program Service Request Inspection Report <br /> 9171 9690 0935 0152 1709 31 <br />