Laserfiche WebLink
Time In: <br /> Time Out: <br /> San Joaquin County <br /> Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, CA95205-6232 <br /> �'�/ea'a • Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.sioov.oratehd <br /> Underground Storage Tank Program Service Request Inspection Report <br /> Name of Facility: WUUcurtiJGLail I='Ivt Date: _ <br /> Address: 18806 N LOWER SACRAMENTO RD, WOODBRIDGE 95258 <br /> Requestor: Telephone <br /> Program Element: 2308-UST RETROFIT Request#: SR0074139 <br /> Inspection Type: 298- UST RETROFIT REPAIR INSPECTION <br /> Onsite Service Technician: Michal Kennard ICC Service TecHlnstaller Exp. Date: 1 V1412016 <br /> Manufacturer training: VMI, 09/10/16 <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> NOTES <br /> On site to witness the 3 gal per hour @ 10 psi leak test of the 91 leak detector. The VMI 99LD2000 serial number 15121073 <br /> passed the test. <br /> The person in charge is responsible for ensuring that the above mentioned facility is in compliance with all applicable sections of the Califomia Health and <br /> Safety Code.If a reinspection is required,fees will be assessed at the current hourly rate. <br /> Received by: Name and Title: Michal Kennar,Service Technician <br /> EH Specialist: ARIS VELOSO Phone: (209)468-3453 <br /> FA0003607 SR0074139 SC298 02/192016 <br /> EHD 2301 Rev.0630115 Page 1 of 1 Underground Storage Tank Program Service Request Inspection Report <br />